NPI Code Details Logo

NPI 1538209465

NPI 1538209465 : SARA WOOL BERMAN LCSW : GLENDALE, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1538209465
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SARA WOOL BERMAN LCSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/08/2007
-----------------------------------------------------
    Last Update Date     |    08/27/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6729 MYRTLE AVE 
-----------------------------------------------------
    City                 |    GLENDALE
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11385-7063
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-456-7001
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    538 CHRISTIE ST 
-----------------------------------------------------
    City                 |    SOUTH HEMPSTEAD
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11550-8005
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    516-241-9024
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    073661
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    083330
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.