Provider Demographics
NPI:1841961729
Name:BERLIN, SARA EDEN LANGER (LMSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:EDEN LANGER
Last Name:BERLIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1577 E PEARL AVE
Mailing Address - Street 2:
Mailing Address - City:HAZEL PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48030-3310
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3835 W WALTON BLVD
Practice Address - Street 2:
Practice Address - City:WATERFORD TWP
Practice Address - State:MI
Practice Address - Zip Code:48329-4270
Practice Address - Country:US
Practice Address - Phone:248-724-7402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511069831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1841961729Medicaid