Doctor Name: | MS. KAREN A BERGE |
NPI Number: | 1023027711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 85-124 |
Business Practice Address: | 1425 Memorial Dr Manitowoc, WI - 542210400 |
Business Phone Number: | 9206839500 |
Business Fax Number: | 9206839588 |
Mailing Address: | 3301 W Forest Home Ave, MILWAUKEE |
State: | WI |
Postal Code: | 532152843 |
Phone Number: | 4146476326 |
Fax Number: | 4146718860 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 85-124 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |