Individual
BRENDA R BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5282 W 250 S, RUSSIAVILLE, IN 46979-9412
(765) 883-7873
(765) 883-7714
Mailing address
5282 W 250 S, RUSSIAVILLE, IN 46979-9412
(765) 883-7873
(765) 883-7714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IN
1041C0700X
Clinical Social Worker
Primary
34004853A
IN
106H00000X
Marriage & Family Therapist
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390310
ANTHEM
IN
Enumeration date
09/22/2005
Last updated
05/28/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us