Provider Demographics
NPI:1205081403
Name:BERK-TERDIMAN, NATALIE JOYCE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:JOYCE
Last Name:BERK-TERDIMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 HAMBURG TPKE STE 410
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4081
Mailing Address - Country:US
Mailing Address - Phone:201-407-8896
Mailing Address - Fax:
Practice Address - Street 1:169 RAMAPO VALLEY RD
Practice Address - Street 2:SUITE ML7
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-2531
Practice Address - Country:US
Practice Address - Phone:201-407-8896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NJ44SC052142001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical