Provider Demographics
NPI:1487845632
Name:BERLINSKY, SVETLANA
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:BERLINSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SVETLANA
Other - Middle Name:
Other - Last Name:KOVALEVSKAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-1914
Mailing Address - Country:US
Mailing Address - Phone:860-236-8589
Mailing Address - Fax:
Practice Address - Street 1:587 E MIDDLE TPKE
Practice Address - Street 2:CHR GENESIS CENTER
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-3731
Practice Address - Country:US
Practice Address - Phone:860-646-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0058521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical