# CANDICE BERG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528624533
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | — | Yes |
| 104100000X | Social Worker | 5743904-3501 | UT | Yes |
| 1041C0700X | Clinical Social Worker | 5743904-3501 | UT | Yes |

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 04/09/2026
