Berwick, James
Berwick, James is an individual health care provider with primary practice located at 1955 Us Highway 1 S Suite C-2, St Augustine FL 32086-3708. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Berwick, James can be contacted via phone (904) 209-6022.Contact Information
Primary practice address
1955 Us Highway 1 S Suite C-2
St Augustine FL 32086-3708
Phone: (904) 209-6022
Fax: (904) 209-6002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW1692 | Florida |
Profile Details
| NPI number | 1265421259 |
|---|---|
| LBN Legal business name | Berwick, James |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jul 19th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265421259 | NPPES |
| Florida | Other | P00147972 | RR MEDICARE |
| Florida | Other | Z4535 | RR MEDICARE |
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