MS. KIMBERLEY L BERLIN


Address: 10640 Page Ave, Fairfax, VA 22030-4000
Phone: 7035288668

MS. KIMBERLEY L BERLIN (NPI# 1770959603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770959603
Entity Type Individual
Full Name MS. KIMBERLEY L BERLIN
Credential LSW, CSAC, SAP, NCRC
Practice Address 10640 Page Ave
Fairfax
VA 22030-4000
Mailing Address 42395 Ryan Rd
Suite 112-116
Ashburn
VA 20148-4863
Practice Telephone 7035288668
Mailing Telephone 7035288668
Enumeration Date 2015-08-14
Last Update Date 2015-08-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0710102772 VA Behavioral Health & Social Service Providers
N 104100000X Social Worker 0903001841 VA Behavioral Health & Social Service Providers

Office Location

Street Address 10640 PAGE AVE
City FAIRFAX
State VA
Zip Code 22030-4000

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NPI Name Taxonomy Address Enumeration
1073114757 Alison Santymire Psychologist 10640 Page Ave, Fairfax, VA 22030-4000 2020-11-08

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1669852026 Transitions...the Process of Change Counselor 8280 Willow Oaks Corporate Dr, Suite 600, Fairfax, VA 22031-4518 2015-06-01
1861724445 Carolyn Elizabeth Kuchel Counselor 4505 Shirley Gate Rd, Fairfax, VA 22030-5522 2010-02-05
1982938361 William Alberti Prasad Counselor 4100 Chain Bridge Rd, 6-121, Fairfax, VA 22030-7003 2009-10-01
1679736342 Maria Christine Hadjiyane Counselor 3615 Chain Bridge Rd Unit I, Integrative Psychotherapy Institute, Fairfax, VA 22030 2008-07-03
1437223922 Life Line Addictions Foundation Inc. Counselor 10374 Democracy Ln Ste A, Fairfax, VA 22030-2557 2006-11-17
1932121290 Gail W Campbell Counselor 10390 Democracy Ln, Fairfax, VA 22030-2522 2006-07-24
1609898154 David Alan Jacobs Counselor 3900 Jermantown Rd Ste 200, Fairfax, VA 22030-4900 2006-07-24
1053339929 Roberta E Severo Counselor 3912 Pineland St, Fairfax, VA 22031-3321 2006-07-18
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Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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