Provider Demographics
NPI:1356564918
Name:BERLINER, GABIE (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:GABIE
Middle Name:
Last Name:BERLINER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2604
Mailing Address - Country:US
Mailing Address - Phone:415-751-7476
Mailing Address - Fax:415-751-7476
Practice Address - Street 1:120 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2604
Practice Address - Country:US
Practice Address - Phone:415-751-7476
Practice Address - Fax:415-751-7476
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS10481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical