Doctor Name: | RACHEL BERGER |
NPI Number: | 1003156910 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | 44SL05723800 |
Business Practice Address: | 655 E Jersey St Elizabeth, NJ - 072061259 |
Business Phone Number: | 9089947224 |
Business Fax Number: | |
Mailing Address: | 61 Mount Kemble Ave, Unit 103 MORRISTOWN |
State: | NJ |
Postal Code: | 079605174 |
Phone Number: | 9734529976 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2013 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SL05723800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |