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General NPI Number Information
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NPI Number | 1235275025
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Entity Type | Individual
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Provider Name | SUSAN D BERLIN MSW, CASAC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 1054 31ST ST NW SUITE 500
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City | WASHINGTON
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State | DC
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Zip | 20007
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Country | US
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Telephone | 202-333-1787
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Fax |
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Provider Business Mailing Address
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Address Line | 5185 MACARTHUR BLVD NW SUITE 103 #587
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City | WASHINGTON
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State | DC
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Zip | 20016-3341
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Country | US
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Telephone | 202-333-1787
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6587
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R046839-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-1262
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC303286
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11513
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904012053
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License Number State | VA
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