Mr Mark Wynn Berger, LCSW is a
Social Worker - Clinical based in Lewiston, Idaho. Mr Mark Wynn Berger is licensed to practice in Idaho (license number LCSW-26273) and his current practice location is
1002 Idaho St, Lewiston, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 746-7661.
NPI number for Mr Mark Wynn Berger is 1720414634 and his current mailing address is 1002 Idaho St, Lewiston, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720414634.
Healthcare Provider's Profile
| Full Name | Mr Mark Wynn Berger |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1002 Idaho St, Lewiston, Idaho |
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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: 1720414634
- Provider Enumeration Date: 09/24/2013
- Last Update Date: 09/24/2013
Medical Identifiers
Medical identifiers for Mr Mark Wynn Berger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720414634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0660722707 (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-26273 (Idaho) | 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. Mr Mark Wynn Berger 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 |
|---|
Mr Mark Wynn Berger, LCSW
1002 Idaho St,
Lewiston, ID 83501-1938
Ph: (208) 798-8744 | Mr Mark Wynn Berger, LCSW
1002 Idaho St,
Lewiston, ID 83501-1938
Ph: (208) 746-7661 |
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