Provider Demographics
NPI:1275679136
Name:BERMAN, NURIT B (LICSW, SOCIAL WORKER)
Entity Type:Individual
Prefix:MS
First Name:NURIT
Middle Name:B
Last Name:BERMAN
Suffix:
Gender:F
Credentials:LICSW, SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 747
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-0747
Mailing Address - Country:US
Mailing Address - Phone:413-458-8640
Mailing Address - Fax:413-458-6840
Practice Address - Street 1:90 ADAMS ROAD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267
Practice Address - Country:US
Practice Address - Phone:413-458-8640
Practice Address - Fax:413-458-8640
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10178871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical