Individual
AMY BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 LA SALLE ST, APT. 11B, NEW YORK, NY 10027-4703
(212) 749-1458
Mailing address
100 LA SALLE ST APT 9F, NEW YORK, NY 10027-4729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
049718
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00049718
—
NY
Enumeration date
03/01/2007
Last updated
06/29/2023
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