Provider Demographics
NPI:1538447123
Name:BARBARA BERGER, LCSW, LLC
Entity type:Organization
Organization Name:BARBARA BERGER, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW
Authorized Official - Phone:954-821-7475
Mailing Address - Street 1:9858 CLINT MOORE RD
Mailing Address - Street 2:SUITE C-111 #114
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1044
Mailing Address - Country:US
Mailing Address - Phone:954-821-7475
Mailing Address - Fax:561-477-2722
Practice Address - Street 1:7301 W PALMETTO PARK RD STE 210B
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3456
Practice Address - Country:US
Practice Address - Phone:954-821-7475
Practice Address - Fax:561-477-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW79061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty