Provider Demographics
NPI:1316963275
Name:BERZOFF, JOAN NANCY (MSW, EDD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:NANCY
Last Name:BERZOFF
Suffix:
Gender:F
Credentials:MSW, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2910
Mailing Address - Country:US
Mailing Address - Phone:413-586-6092
Mailing Address - Fax:
Practice Address - Street 1:51 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2910
Practice Address - Country:US
Practice Address - Phone:413-586-6092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA102433104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP02180Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER