NPI 1316477631 · live from the CMS NPI Registry
Berkeley Harbour Antonioli, PhD, LCSW, MEd
Social Worker, Clinical in Elkton, MD. National Provider Identifier 1316477631, active.
NPI record
| NPI | 1316477631 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 192 Frenchtown Rd, Elkton, MD 21921 |
| Practice phone | 302-343-1739 |
| Enumerated | June 19, 2017 |
| Last updated | April 30, 2024 |
| Sole proprietor | Yes |
| Other names | Berkeley Harbour |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 26057 (MD) |
| Social Worker, Clinical primary | 1041C0700X | Q1-0001553 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.