Provider Demographics
NPI:1598311748
Name:BERKELEY, BRITTANI (LSW)
Entity Type:Individual
Prefix:
First Name:BRITTANI
Middle Name:
Last Name:BERKELEY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 PENN AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:WILKINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2216
Mailing Address - Country:US
Mailing Address - Phone:412-241-4673
Mailing Address - Fax:
Practice Address - Street 1:711 PENN AVE FL 2
Practice Address - Street 2:
Practice Address - City:WILKINSBURG
Practice Address - State:PA
Practice Address - Zip Code:15221-2216
Practice Address - Country:US
Practice Address - Phone:412-241-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136074104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker