Harry M Berg is a Clinical in Randolph, Massachusetts. Harry M Berg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Harry M Berg is 1922187822. The last update date is 2007-11-02.
Harry M Berg's current location address is 1093 N Main St, Randolph, Massachusetts. You can contact this provider via phone number 7819637775 and fax number 7819637776. The mailing address for Harry M Berg is 1093 N Main St, Randolph, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Harry M Berg |
|---|---|
| Address | 1093 N Main St, Randolph, Massachusetts |
| Phone Number | 7819637775 |
| Fax Number | 7819637776 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1922187822 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 1093 N Main St |
|---|---|
| City | Randolph |
| State | Massachusetts (MA) |
| Post Code | 23682100 |
| Phone Number | 7819637775 |
| Fax Number | 7819637776 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 101336 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Harry M Berg by the Centers for Medicare & Medicaid Services?
The Harry M Berg has been assigned the NPI (National Provider Identifier) 1922187822. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Harry M Berg's physical address?
The Harry M Berg is physically located at 1093 N Main St, in the city of Randolph, MA, with the postal code 23682100.
What is the Harry M Berg's specialty and taxonomy code?
The Harry M Berg's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Harry M Berg's 1922187822 issued?
The Harry M Berg's 1922187822 was issued on 2006-11-03.
When was the information pertaining to Harry M Berg most recently updated or revised?
The details related to Harry M Berg, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-02.