JULYETTE E BERRY (LCSW-C) – Clinical Social Worker, NPI 1043873532

JULYETTE E BERRY (LCSW-C) is a healthcare provider. based in Largo, Maryland. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW-C. They hold a License No. 24677 (MD). The NPI Number for JULYETTE E BERRY (LCSW-C) is 1043873532

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
JULYETTE E BERRY (LCSW-C)
NPI
1043873532
Phone
(410) 558-0019
Address
1300 MERCANTILE LANE
Enumeration Date
19 April 2019
Deactivation Date
11 February 2021
Reactivation Date
10 May 2021
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4108934600
Graduation Year
1998 (28 years ago)
PAC ID
8123546124
Group Practice PAC ID
0345514675
Professional Enrollment ID
I20250514000366
Address ID
MD210143485BE1208XRDXX402
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

2,276 CLINICAL SOCIAL WORKER in MD

Provider Addresses for JULYETTE E BERRY (LCSW-C)

  • 1300 MERCANTILE LANE

    SUITE 143

    LARGO, MD 20774

    Phone: (410) 558-0019

    Type: Location

  • 1208 E CHURCHVILLE RD STE 300

    BEL AIR, MD 21014

    Phone: (301) 204-6199

    Type: Location

  • 6105, Arbor Street, Hyattsville, Prince George's County, Maryland, 20785, United States

    CHEVERLY, MD 207853002

    Phone: (301) 204-6199

    Type: Mailing

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: 2025-05-14

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
I20250514000366IClinical Social WorkerMDTBD

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 20774)

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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: 0345514675View full group profile
NameSpecialtyState
Clinical PsychologistMD
Clinical Social WorkerMD
Mental Health CounselorMD
-MD
Clinical PsychologistVA
Mental Health CounselorMD
Clinical Social WorkerMD
Clinical Social WorkerVA
Mental Health CounselorMD
-MD

Reviews

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Frequently asked questions

Can I cross-check JULYETTE E BERRY (LCSW-C) using NPI 1043873532?
NPI 1043873532 belongs to JULYETTE E BERRY (LCSW-C); compare other details if you need extra assurance.
Is JULYETTE E BERRY (LCSW-C) still an active registrant?
JULYETTE E BERRY (LCSW-C) carries an active NPI according to the public dataset.
What area of care is associated with JULYETTE E BERRY (LCSW-C)?
JULYETTE E BERRY (LCSW-C)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JULYETTE E BERRY (LCSW-C)?
Travel planning: use Largo, Maryland as the reference point for JULYETTE E BERRY (LCSW-C), then confirm.
Can I trust this NPI listing for JULYETTE E BERRY (LCSW-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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