Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fard Ali Berry

Individual provider Social Worker · NPI 1982411989

Fard Ali Berry is a Clinical Social Worker in Somerville, Massachusetts. Qualified in 2022, 4 years ago. Practices with Northeast Behavioral Health Corporation, a 43-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

399 Revolution Dr
Somerville, MA 02145-1484
Phone: (857) 523-9279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW228777 (MA)

Record details

NPI number1982411989
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address123 Reservoir Ave, Revere, MA 02151-5825

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northeast Behavioral Health Corporation — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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