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General NPI Number Information
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NPI Number | 1992395859
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Entity Type | Individual
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Provider Name | EMILY BERKMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/24/2021
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Last Update Date | 01/24/2021
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Provider Practice Location Address
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Address Line | 155 N MICHIGAN AVE # 225
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City | CHICAGO
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State | IL
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Zip | 60601-7511
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Country | US
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Telephone | 312-278-3054
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 S UNIVERSITY AVE # 663
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City | CHICAGO
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State | IL
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Zip | 60637-1522
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Country | US
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Telephone | 773-531-4588
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 149.021065
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License Number State | IL
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