Evan Berg
Social Worker, Clinical in Portsmouth, New Hampshire
1497297873- Practice location
- 1145 Sagamore Ave, Portsmouth, NH 03801-5503
- Phone
- 603-431-6703
- Fax
- 603-430-3753
- Last updated
- January 8, 2020
Evan Berg is a Social Worker, Clinical based in Portsmouth, NH. Evan Berg practices in Portsmouth, NH. The NPI Number for Evan Berg is 1497297873 and holds a License No. 2256 (NH). The current practice location address for Evan Berg is 1145 Sagamore Ave, Portsmouth, NH 03801-5503 and can be reached out via phone at 603-431-6703 and via fax at 603-430-3753.
Provider Profile Details
- NPI Number
- 1497297873
- Provider Name
- Evan Berg
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1145 Sagamore Ave, Portsmouth, NH 03801-5503
- Phone Number
- 603-431-6703
- Fax Number
- 603-430-3753
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 16, 2016
- Last Update Date
- January 8, 2020
- Certification Date
- January 8, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1145 Sagamore Ave
Portsmouth, NH 03801-5503 - City
- Portsmouth
- State
- New Hampshire
- Zip
- 03801-5503
- Phone Number
- 603-431-6703
- Fax Number
- 603-430-3753
Provider Business Mailing Address Details
- Address
- 1145 Sagamore Ave
Portsmouth, NH 03801-5503 - City
- Portsmouth
- State
- NH
- Zip
- 03801-5503
- Phone Number
- 603-431-6703
- Fax Number
- 603-430-3753
License Information
- License Number
- 2256
- License State
- NH
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Evan Berg?
The NPI number of Evan Berg is 1497297873. It was assigned on November 16, 2016 and is currently active in the NPPES registry.
What is the specialty of Evan Berg?
Evan Berg is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 2256.
Where does Evan Berg practice?
The practice location is 1145 Sagamore Ave, Portsmouth, NH 03801-5503. The office can be reached at 603-431-6703 (phone) or 603-430-3753 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497297873 directly on the NPPES registry website.