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
Fax: (401) 722-5280
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992772438 NPPES
Rhode Island MEDICAID GH57134

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