MEDICARE: NAOMI E BERKENBILT

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1548197320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAOMI E BERKENBILT

Provider Business Mailing Address
First Line	:	4420 MAPLE AVE
Second Line	:
City	:	HALETHORPE
State	:	MD
Zip	:	21227-4048
Country	:	US
Telephone Number	:	443-238-1139
Fax Number	:	443-432-4625

Provider Business Practice Location Address
First Line	:	4420 MAPLE AVE
Second Line	:
City	:	HALETHORPE
State	:	MD
Zip	:	21227-4048
Country	:	US
Telephone Number	:	443-238-1139
Fax Number	:	443-432-4625

Authorized Official
Title or Position	:	OWNER
Name	:	NAOMI BERKENBILT
Credential	:
Telephone Number	:	443-238-1139

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “NAOMI E BERKENBILT ” Practice Location

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