Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sergiy Berezhnoy, CO60911229

Individual provider Clinical Social Worker · NPI 1881164978

Sergiy Berezhnoy, CO60911229 is a Clinical Social Worker in Spokane, Washington. Qualified in 2021, 5 years ago. Practices with Privia Medical Group Washington PLLC, a 72-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2018
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Practice location Address checks out

235 E Rowan Ave
Spokane, WA 99207-1240
Phone: (509) 252-6446
Fax: (509) 252-6490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SC61200656 (WA)

Record details

NPI number1881164978
Entity typeIndividual (Type 1)
GenderMale
Credentials CO60911229
Sole proprietorNo
NPI enumeratedNovember 30, 2018
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Privia Medical Group Washington Pllc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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