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NPI Code Detail

MEDICARE: MS. ALICE BERKE LICSW

MEDICARE:  MS. ALICE  BERKE  LICSW
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 Worker110282MA
21041C0700XClinical Social Worker066278NY

General Provider Information

NPI Number : 1386604247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALICE BERKE LICSW
Provider Business Mailing Address
First Line : PO BOX 204
Second Line :
City : MONTEREY
State : MD
Zip : 01245
Country : US
Telephone Number : 413-528-8206
Fax Number : 413-232-0111
Provider Business Practice Location Address
First Line : 38 MAIN ST.
Second Line :
City : WEST STOCKBRIDGE
State : MA
Zip : 01266
Country : US
Telephone Number : 413-528-8206
Fax Number : 413-232-0111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 11/09/2009

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Directions to “ MS. ALICE BERKE LICSW” Practice Location

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