Berg, Karen M

Berg, Karen M is an individual health care provider with primary practice located at 1600 2Nd Ave Sw Ste 10 , Minot ND 58701-3459. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Berg, Karen M can be contacted via phone (701) 852-4605.

Contact Information

Primary practice address
1600 2Nd Ave Sw Ste 10 Minot ND 58701-3459
Fax: (701) 852-4644
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 544 North Dakota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 544 North Dakota

Profile Details

NPI number 1821184060
LBN Legal business name Berg, Karen M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821184060 NPPES
North Dakota MEDICAID 74037

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