Madeline Anne Berry, LICSW
Social Worker, Clinical in Bellevue, WA. Individual provider (NPI-1).
NPI number1982182275
StatusActive
Last updated in NPPESApr 12, 2021
Details
- NPI
- 1982182275
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Madeline Anne Berry
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2018
- Certification date
- Apr 12, 2021
- Last updated
- Apr 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 60865836 | WA | Yes |
Other names
- Madeline Anne Libretti (Former Name)
Practice location
11511 Ne 10th StBellevue, WA 98004-8578
Phone 425-502-3000 · Fax 425-502-3589
Mailing address
11511 Ne 10th StBellevue, WA 98004-8578
Phone 425-502-3000 · Fax 425-502-3589
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