LINELL K BERKLEY – Social Worker, NPI 1649420134

LINELL K BERKLEY is a healthcare provider. based in Menasha, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 7363 (WI). The NPI Number for LINELL K BERKLEY is 1649420134

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
LINELL K BERKLEY
NPI
1649420134
Phone
(920) 720-2300
Address
1095 MIDWAY RD
Enumeration Date
22 September 2008
Last Update Date
24 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9208418326
Graduation Year
2004 (22 years ago)
PAC ID
3476614405
Group Practice PAC ID
4981031309
Professional Enrollment ID
I20081209000209
Address ID
WI549141658AP16XXXWAYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for LINELL K BERKLEY

  • 1095, Midway Road, Menasha, Winnebago County, Wisconsin, 54952, United States

    MENASHA, WI 549521115

    Phone: (920) 720-2300

    Mailing address matches the actual address.

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: 2008-12-09

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
I20081209000209IClinical Social WorkerWITBD

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 54952)

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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: 4981031309View full group profile
NameSpecialtyState
Marriage And Family TherapistWI
Mental Health CounselorWI
Psychiatry, NeurologyWI
Mental Health CounselorWI
Clinical PsychologistWI
Nurse PractitionerWI
Nurse PractitionerWI
Mental Health CounselorWI
P S Y C H I A T R YWI
Clinical PsychologistMN

Reviews

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Frequently asked questions

Where can patients find LINELL K BERKLEY's NPI?
You can confirm LINELL K BERKLEY with NPI 1649420134; it appears in the national provider directory.
Does this profile mean LINELL K BERKLEY is currently active?
Yes — LINELL K BERKLEY appears active in the national provider directory.
Does LINELL K BERKLEY list a primary specialty?
If you are matching referrals, note Social Worker for LINELL K BERKLEY. Clinical services aligned with this taxonomy classification.
What location shows for LINELL K BERKLEY?
We surface Menasha, Wisconsin for LINELL K BERKLEY based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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