Berg, Leah Anne
Berg, Leah Anne is an individual health care provider with primary practice located at 160 Beechwood Ave , Pawtucket RI 02860-3414. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berg, Leah Anne can be contacted via phone (401) 724-8400.Contact Information
Primary practice address
160 Beechwood Ave
Pawtucket RI 02860-3414
Phone: (401) 724-8400
Fax: (401) 722-5280
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01987 | Rhode Island |
Profile Details
NPI number | 1992772438 |
---|---|
LBN Legal business name | Berg, Leah Anne |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | Mar 18th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992772438 | NPPES |
Rhode Island | MEDICAID | GH57134 |
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