Colyn Berg, MSW, APSW, SAC-IT is a
Social Worker based in La Crosse, Wisconsin. Colyn Berg is licensed to practice in Wisconsin (license number 135215-121) and his current practice location is
205 5th Ave S Ste 508, La Crosse, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 387-9638.
NPI number for Colyn Berg is 1659186708 and his current mailing address is 505 E Olson St, Blair, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659186708.
Healthcare Provider's Profile
| Full Name | Colyn Berg |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 205 5th Ave S Ste 508, La Crosse, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659186708
- Provider Enumeration Date: 02/07/2025
- Last Update Date: 02/07/2025
Medical Identifiers
Medical identifiers for Colyn Berg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659186708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20459-130 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 6851119332 (Michigan) | Secondary |
| 405300000X | Prevention Professional | 17013-137 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 135215-121 (Wisconsin) | Primary |
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. Colyn 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 |
|---|
Colyn Berg, MSW, APSW, SAC-IT
505 E Olson St,
Blair, WI 54616-9307
Ph: () - | Colyn Berg, MSW, APSW, SAC-IT
205 5th Ave S Ste 508,
La Crosse, WI 54601-4059
Ph: (608) 387-9638 |
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