Brenda R Berg, LCSW is a
Social Worker - Clinical based in Russiaville, Indiana. Brenda R Berg is licensed to practice in Indiana (license number 34004853A) and her current practice location is
5282 W 250 S, Russiaville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 883-7873.
NPI number for Brenda R Berg is 1124014451 and her current mailing address is 5282 W 250 S, Russiaville, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124014451.
Healthcare Provider's Profile
Full Name | Brenda R Berg |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5282 W 250 S, Russiaville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124014451
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 05/28/2008
Medical Identifiers
Medical identifiers for Brenda R Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124014451 | NPI | - | NPPES |
000000390310 | Other | IN | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34004853A (Indiana) | Primary |
106H00000X | Marriage & Family Therapist | (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda R Berg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brenda R Berg, LCSW 5282 W 250 S, Russiaville, IN 46979-9412 Ph: (765) 883-7873 | Brenda R Berg, LCSW 5282 W 250 S, Russiaville, IN 46979-9412 Ph: (765) 883-7873 |
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