Provider Demographics
NPI:1639941594
Name:BERRYHILL, KAREN CHERI (LMSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:CHERI
Last Name:BERRYHILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6334 W MADRAS LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-3225
Mailing Address - Country:US
Mailing Address - Phone:623-693-4041
Mailing Address - Fax:
Practice Address - Street 1:6334 W MADRAS LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-3225
Practice Address - Country:US
Practice Address - Phone:623-693-4041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-19154104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker