Leah Anne Berg is a Clinical in Pawtucket, Rhode Island. Leah Anne Berg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leah Anne Berg is 1992772438. The last update date is 2014-07-30.
Leah Anne Berg's current location address is 160 Beechwood Ave, Pawtucket, Rhode Island. You can contact this provider via phone number 4017248400 and fax number 4017225280. The mailing address for Leah Anne Berg is 160 Beechwood Ave, Pawtucket, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leah Anne Berg |
|---|---|
| Address | 160 Beechwood Ave, Pawtucket, Rhode Island |
| Phone Number | 4017248400 |
| Fax Number | 4017225280 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1992772438 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2014-07-30 |
Provider Mailing Address Detail
| Address | 160 Beechwood Ave |
|---|---|
| City | Pawtucket |
| State | Rhode Island (RI) |
| Post Code | 28603414 |
| Phone Number | 4017248400 |
| Fax Number | 4017225280 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW01987 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GH57134 | RI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leah Anne Berg?
The Leah Anne Berg has been issued the NPI (National Provider Identifier) 1992772438 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Leah Anne Berg's physical address?
The Leah Anne Berg is physically located at 160 Beechwood Ave, in the city of Pawtucket, RI, with the postal code 28603414.
What is the Leah Anne Berg's area of specialization and corresponding taxonomy classification?
The Leah Anne Berg's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Leah Anne Berg receive the assignment of its 1992772438 from the Centers for Medicare & Medicaid Services?
The Leah Anne Berg was issued its 1992772438 by the Centers for Medicare & Medicaid Services on 2006-03-03.
As of what date was the information regarding Leah Anne Berg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leah Anne Berg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-07-30.
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