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Individual

JACQUELINE BERLINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
460 BLOOMFIELD AVE, SUITE 209, MONTCLAIR, NJ 07042-3582
(973) 429-1057
(973) 783-9226
Mailing address
460 BLOOMFIELD AVE, SUITE 209, MONTCLAIR, NJ 07042-3582
(973) 429-1057
(973) 783-9226

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC06541
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5494120
AETNA
01
JB0NC59100
EMPIRE BLUE CROSS
NY
01
P1024529
OXFORD HEALTH PLANS
Enumeration date
11/03/2006
Last updated
07/08/2007
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