Provider Demographics
NPI:1497860977
Name:BERLIN, KARYN L (LISW)
Entity Type:Individual
Prefix:MS
First Name:KARYN
Middle Name:L
Last Name:BERLIN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:MS
Other - First Name:KARYN
Other - Middle Name:L
Other - Last Name:BERLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW
Mailing Address - Street 1:2224 HOLIDAY RD
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2743
Mailing Address - Country:US
Mailing Address - Phone:319-338-0581
Mailing Address - Fax:319-887-4920
Practice Address - Street 1:601 HIGHWAY 6 W
Practice Address - Street 2:IOWA CITY VA SPECIALTY 002B
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2292
Practice Address - Country:US
Practice Address - Phone:319-338-0581
Practice Address - Fax:319-887-4920
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA014221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical