Provider Demographics
NPI:1205017167
Name:BERKOWITZ, YOCHANAN (LCSW)
Entity type:Individual
Prefix:MR
First Name:YOCHANAN
Middle Name:
Last Name:BERKOWITZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:ZEV
Other - Middle Name:Y
Other - Last Name:BERKOWITZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:15 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2958
Mailing Address - Country:US
Mailing Address - Phone:646-338-5424
Mailing Address - Fax:
Practice Address - Street 1:15 CHARLES ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-2958
Practice Address - Country:US
Practice Address - Phone:646-338-5424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053225001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical