Provider Demographics
NPI:1770639924
Name:BERMAN, ISABEL MARTINA (MSW,LGSW)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:MARTINA
Last Name:BERMAN
Suffix:
Gender:F
Credentials:MSW,LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 THOMPSON DAIRY WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5721
Mailing Address - Country:US
Mailing Address - Phone:240-296-5639
Mailing Address - Fax:301-528-4315
Practice Address - Street 1:20410 OBSERVATION DR STE 108
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-6419
Practice Address - Country:US
Practice Address - Phone:301-588-8881
Practice Address - Fax:301-528-4315
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD169171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical