Berroa, Tasha

Berroa, Tasha is an individual health care provider with primary practice located at 1 Boston Medical Ctr Pl , Boston MA 02118-2908. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Berroa, Tasha can be contacted via phone (617) 414-5245.

Contact Information

Primary practice address
1 Boston Medical Ctr Pl Boston MA 02118-2908
Phone: (617) 414-5245
Fax: (617) 414-5520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 121163 Massachusetts

Profile Details

NPI number 1639571763
LBN Legal business name Berroa, Tasha
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2014
Last updated Dec 15th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639571763 NPPES
Massachusetts MEDICAID 110190328A

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