Healthcare Provider Details

I. General information

NPI: 1437065653
Provider Name (Legal Business Name): MEREDITH BESS BERLIN LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 LIVERNOIS RD
TROY MI
48098-4799
US

IV. Provider business mailing address

155 CROSSROADS LN APT 4210
TROY MI
48083-3004
US

V. Phone/Fax

Practice location:
  • Phone: 248-823-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851110273
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: