MEDICARE: THERAPY WORK PSYCHOTHERAPY LCSW PLLC

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	:	1568221562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY WORK PSYCHOTHERAPY LCSW PLLC

Provider Business Mailing Address
First Line	:	540 2ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-2608
Country	:	US
Telephone Number	:	718-635-3844
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 2ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-2608
Country	:	US
Telephone Number	:	718-635-3844
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARYGRACE BERBERIAN
Credential	:	LCSW,LCAT
Telephone Number	:	718-635-3844

Provider Enumeration Date	:	03/13/2024
Last Update Date	:	03/13/2024

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