Organization
GERICARE OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD M BERLIN LCSW (OWNER)
(208) 830-6775
Entity
Organization
Contact information
Practice address
5442 S FARMHOUSE PL, BOISE, ID 83716-9016
(208) 830-6775
Mailing address
5310 WARD ROAD, SUITE 106, ARVADA, CO 80002-1829
(303) 278-7418
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-29777
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS 10041
STATE LICENSE
CA
01
—
LCSW-29777
STATE LICENSE
ID
Enumeration date
04/09/2010
Last updated
04/09/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up