Active NPIIndividual provider

Johanna Berry, LICSW

Social Worker, Clinical in Burlington, Vermont

NPI Number1891122297
Practice location
1138 Pine St, Burlington, VT 05401-5353
Fax
802-488-6919
Last updated
September 30, 2013

Johanna Berry is a Social Worker, Clinical based in Burlington, VT. Johanna Berry practices in Burlington, VT and has the professional credentials of LICSW. The NPI Number for Johanna Berry is 1891122297 and holds a License No. 089.0083500 (VT). The current practice location address for Johanna Berry is 1138 Pine St, Burlington, VT 05401-5353 and can be reached out via phone at 802-488-6600 and via fax at 802-488-6919.

Provider Profile Details

NPI Number
1891122297
Provider Name
Johanna Berry
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1138 Pine St, Burlington, VT 05401-5353
Phone Number
802-488-6600
Fax Number
802-488-6919
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 30, 2013
Last Update Date
September 30, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1138 Pine St
Burlington, VT 05401-5353
State
Vermont
Zip
05401-5353
Phone Number
802-488-6600
Fax Number
802-488-6919
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
208 Flynn Ave
Suite 3J
Burlington, VT 05401-5429
City
Burlington
State
VT
Zip
05401-5429

License Information

License Number
089.0083500
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Johanna Berry, LICSW?

The NPI number of Johanna Berry, LICSW is 1891122297. It was assigned on September 30, 2013 and is currently active in the NPPES registry.

What is the specialty of Johanna Berry, LICSW?

Johanna Berry, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0083500.

Where does Johanna Berry, LICSW practice?

The practice location is 1138 Pine St, Burlington, VT 05401-5353. The office can be reached at 802-488-6600 (phone) or 802-488-6919 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891122297 directly on the NPPES registry website.

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