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Provider Information for 1144596073


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SHARON RENEE' BERKOBIEN LMSW, CAADC


Sex: Female

NPI: 1144596073
Last Updated: 2024-11-12
Certification Date: 2024-11-12

Details

NameValue
NPI1144596073
Enumeration Date2012-03-26
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1914 SCHUST RD
SAGINAW, MI 48604-1616
United States

Phone: 989-274-1026 | Fax:989-781-5422
 
Primary Practice Address 3400 S. WASHINGTON
SAGINAW, MI 48601
United States

Phone: 989-274-1026 | Fax:989-781-5422
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)MIC-02245
Yes 1041C0700X - Social Worker - ClinicalMI6801084965