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Contact Information

CONSTINA BERRY
1949 4TH ST NE
WASHINGTON, DC20002-1211
 Phone: 202-462-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CONSTINA BERRY · (Female)

NPI Number 1255473633
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2007
Last updated 04/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • DC License # 1113
  • DC Medicaid 53347827
  • DC Other 287814 AMERIGROUP(MEDICAID MCO)
  • DC Other 23349 CHARTERED HEALTH (MCO)
  • DC Other 5237 HEALTHRIGHT (MEDICAID MCO
  • DC Other 1113 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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