MRS. AMBER BERRIDGE (LCSW) – Clinical Social Worker, NPI 1972065878

MRS. AMBER BERRIDGE (LCSW) is a healthcare provider. based in Berwyn, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.023668 (). The NPI Number for MRS. AMBER BERRIDGE (LCSW) is 1972065878

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMBER BERRIDGE (LCSW)
NPI
1972065878
Phone
Not provided
Address
6415 STANLEY AVE
Enumeration Date
1 April 2019
Last Update Date
5 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739451994
Graduation Year
2018 (8 years ago)
PAC ID
5193179497
Group Practice PAC ID
5698134005
Professional Enrollment ID
I20230920001917
Address ID
IL607121704LI7373XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for MRS. AMBER BERRIDGE (LCSW)

  • 6415, Stanley Avenue, Lavergne, Berwyn, Cook County, Illinois, 60402, United States

    BERWYN, IL 604023130

    Phone:

    Type: Mailing

  • 6415 Stanley Ave

    Berwyn, IL 604023130

    Phone: (708) 995-3676

    Fax: (708) 788-8535

    Type: Location

  • 735 N LINDBERG ST

    GRIFFITH, IN 463192033

    Phone: (219) 682-5892

    Type: Mailing

  • 414 PLAZA DR STE 301

    WESTMONT, IL 605595508

    Phone: (630) 728-1744

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230920001917IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698134005View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerMI
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

How do I look up MRS. AMBER BERRIDGE (LCSW) by NPI?
Use NPI 1972065878 when you need to reference MRS. AMBER BERRIDGE (LCSW) in forms, claims, or directories.
Is MRS. AMBER BERRIDGE (LCSW)'s NPI currently valid?
The extract we use shows MRS. AMBER BERRIDGE (LCSW) as active.
Does MRS. AMBER BERRIDGE (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MRS. AMBER BERRIDGE (LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. AMBER BERRIDGE (LCSW)?
The page summarizes Berwyn, Illinois for MRS. AMBER BERRIDGE (LCSW); expand the address list for detail.
Is MRS. AMBER BERRIDGE (LCSW) a real provider?
This page reflects official NPPES data for NPI 1972065878. Always confirm identity and privileges with the practice and licensing boards.

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