Berg, Kelly Nicole

Berg, Kelly Nicole is an sole proprietor health care provider with primary practice located at 6012 N Kenmore Ave 1C, Chicago IL 60660-5014. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Berg, Kelly Nicole can be contacted via phone (734) 674-2922.

Contact Information

Primary practice address
6012 N Kenmore Ave 1C Chicago IL 60660-5014
Phone: (734) 674-2922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.015368 Illinois
Behavioral Health & Social Service Providers / School 1041S0200X 2442535 Illinois

Profile Details

NPI number 1144667536
LBN Legal business name Berg, Kelly Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2013
Last updated May 27th, 2013 - about 12 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.

Request for update

Popular Providers