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NPI Code Detail

MEDICARE: MS. STEPHANIE M BERARDO MSW/LCSW

MEDICARE: MS. STEPHANIE M BERARDO MSW/LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerISW20655FL

General Provider Information

NPI Number : 1194651463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE M BERARDO MSW/LCSW
Provider Business Mailing Address
First Line : 5023 GRANT ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5239
Country : US
Telephone Number : 954-999-0818
Fax Number : 954-827-7636
Provider Business Practice Location Address
First Line : 1030 S STATE ROAD 7
Second Line :
City : PLANTATION
State : FL
Zip : 33317-4525
Country : US
Telephone Number : 954-999-0818
Fax Number : 954-827-7636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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