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MR. DOMINIK RYAN BERTHOLD MSW
NPI 1164170023
Student in an Organized Health Care Education/Training Program in Lancaster, PA

Active since March 10, 2022
8 N QUEEN ST, LANCASTER, PA 17603(717) 297-0515(833) 563-2325 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 11, 2025, Jun 5, 2023, Mar 10, 2022 (3 updates tracked since 2022).

About Mr. Dominik Ryan Berthold Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOMINIK RYAN BERTHOLD MSW (NPI 1164170023) is an individual student in an organized health care education/training program in Lancaster, Pennsylvania and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1164170023
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. DOMINIK RYAN BERTHOLDCredential: MSW
Location Address8 N QUEEN STLancaster, PA 17603-3878
Mailing Address8 N Queen StLancaster, PA 17603-3878 · (717) 297-0515 · Fax (833) 563-2325
Phone(717) 297-0515
Fax(833) 563-2325
Sole ProprietorNo
Enumeration DateMarch 10, 2022
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1164170023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8 N QUEEN ST, Lancaster, PA 17603
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY GIORGIO
Marriage & Family Therapist
8 N QUEEN ST
LANCASTER, PA 17603
Lancaster County (717) 280-8023
EVIDENCE-BASED WELLNESS PARTNERS LLC
Community/Behavioral Health
8 N QUEEN ST
LANCASTER, PA 17603
Lancaster County (301) 960-8991
TAJAH LEWIS
Student in an Organized Health Care Education/Training Program
8 N QUEEN ST
LANCASTER, PA 17603
Lancaster County (717) 280-8023
MISS ANUSHKA MOHAPATRA
Counselor (Mental Health)
8 N QUEEN ST
LANCASTER, PA 17603
Lancaster County (717) 297-0515
JANE ANTHONY
Student in an Organized Health Care Education/Training Program
8 N QUEEN ST
LANCASTER, PA 17603
Lancaster County (717) 297-0515
JORDAN RAST LPC
Counselor (Professional)
8 N QUEEN ST
LANCASTER, PA 17603
Lancaster County (717) 297-0515
DR. ELIZABETH DOLIN DALTON PH.D.
Psychologist
8 N QUEEN ST
LANCASTER, PA 17603
Lancaster County (717) 297-0515
PAULA L HAIGH LSW
Social Worker (Clinical)
8 N QUEEN ST
LANCASTER, PA 17603
Lancaster County (717) 392-4322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominik Berthold's NPI number?

The NPI number for Dominik Berthold is 1164170023. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Where is Dominik Berthold located?

Dominik Berthold practices at 8 N Queen St, Lancaster, PA 17603. The listed phone number is (717) 297-0515.

What is Dominik Berthold's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dominik Berthold was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.