AMIE M BERRY LCSW NPI 1508194218

NPI Information

NPI: 1508194218
Provider Name: AMIE M BERRY, LCSW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Organization: UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.

PECOS Registration: Yes

Address:
4651 SALISBURY ROAD SOUTH
4TH FLOOR, SUITE 428
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 748-9106
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Amie M Berry, LCSW is a counselor in Jacksonville, FL with 22 years of experience. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Amie M Berry, LCSW NPI is 1508194218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4651 SALISBURY ROAD SOUTH
4TH FLOOR, SUITE 428
JACKSONVILLE, FL
ZIP 32256-506
Phone: (904) 748-9106
Fax: (888) 244-7481

The NPI 1508194218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/19/2009 and was last updated on 2/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	SW9352	FLORIDA	No
2	101Y00000X	Counselor		SW9352	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004222300	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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