Berg, Lisa M

Berg, Lisa M is an sole proprietor health care provider with primary practice located at 532 Lake St , Antioch IL 60002-1424. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berg, Lisa M can be contacted via phone (706) 957-0158.

Contact Information

Primary practice address
532 Lake St Antioch IL 60002-1424
Phone: (706) 957-0158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149007142 Illinois

Profile Details

NPI number 1528100484
LBN Legal business name Berg, Lisa M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Feb 11th, 2015 - about 9 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