Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 44SL05723800 | NJ |
NPI | 1003156910 |
---|---|
Provider Name | Rachel Berger |
First Address | Morristown, NJ 07960-5174 |
Second Address | Elizabeth, NJ 07206-1259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2013 |
Last Update Date | 01/03/2013 |