Individual
MR. ELLIS DAVID BERKOWITZ
Active
Individual
MR. ELLIS DAVID BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, ACSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013929
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109828
VALUE OPTIONS
PA
01
—
339588
MAGELLAN BEH HEALTH
PA
01
—
50003579
CAPITAL BLUE CROSS
PA
01
—
5313583
AETNA BEHAVIORAL HEALTH
PA
Enumeration date
03/23/2006
Last updated
11/07/2023
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