Healthcare Provider Details

I. General information

NPI: 1811656135
Provider Name (Legal Business Name): STEPHANIE J BERLIN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2021
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 IMLAY CITY RD
LAPEER MI
48446-3256
US

IV. Provider business mailing address

1570 SUNCREST DR
LAPEER MI
48446-1154
US

V. Phone/Fax

Practice location:
  • Phone: 810-245-4900
  • Fax:
Mailing address:
  • Phone: 810-667-0500
  • Fax: 810-664-8728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801113667
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: