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Contact Information

MARK W BERGER, LCSW
1002 IDAHO ST
LEWISTON, ID83501-1938
 Phone: 208-746-7661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MARK W BERGER · (Male)

NPI Number 1720414634
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/24/2013
Last updated 09/24/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 0660722707
  • ID License # LCSW-26273
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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