Mitchell Berk, L.C.S.W., M.A.
NPI 1336217397ActiveIndividual· Social Worker, Clinical· Fresh Meadows, NY
Social Worker, Clinical (L.C.S.W., M.A.) in Fresh Meadows, New York, licensed in NY, with an NPI issued in November 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1336217397 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.C.S.W., M.A. |
| Sole proprietor | Yes |
| NPI issued | Nov 30, 2006 |
| Last updated in NPPES | Mar 28, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | R043964-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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