Provider Demographics
NPI:1235275025
Name:BERLIN, SUSAN D (MSW, CASAC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:D
Last Name:BERLIN
Suffix:
Gender:F
Credentials:MSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5185 MACARTHUR BLVD NW SUITE 103 #587
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3341
Mailing Address - Country:US
Mailing Address - Phone:202-333-1787
Mailing Address - Fax:
Practice Address - Street 1:1054 31ST ST NW SUITE 500
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-333-1787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6587101YA0400X
NYR046839-11041C0700X
WYLCSW-12621041C0700X
DCLC3032861041C0700X
MD115131041C0700X
VA09040120531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1235275025OtherINSURANCE COMPANIES