Berlin, Kimberley L

Berlin, Kimberley L is an sole proprietor health care provider with primary practice located at 10640 Page Ave , Fairfax VA 22030-4000. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Berlin, Kimberley L can be contacted via phone (703) 528-8668.

Contact Information

Primary practice address
10640 Page Ave Fairfax VA 22030-4000
Phone: (703) 528-8668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102772 Virginia
Behavioral Health & Social Service Providers / Social Worker 104100000X 0903001841 Virginia

Profile Details

NPI number 1770959603
LBN Legal business name Berlin, Kimberley L
Credentials LSW, CSAC, SAP, NCRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2015
Last updated Aug 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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