EVAN BERG (NPI# 1497297873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497297873 |
Entity Type | Individual |
Full Name | EVAN BERG |
Practice Address |
1145 Sagamore Ave Portsmouth NH 03801-5503 |
Practice Telephone | 6034316703 |
Practice Fax Number | 6034303753 |
Mailing Telephone | 6034316703 |
Mailing Fax Number | 6034303753 |
Enumeration Date | 2016-11-16 |
Last Update Date | 2020-01-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
2256 | NH | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 3078870 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811425226 | Evan Berg | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2017-05-30 |
1821261512 | Evan Ross Berg | Student in an Organized Health Care Education/Training Program | 185 Pilgrim Rd, Deaconess 311, Boston, MA 02215-5324 | 2008-04-02 |
1982692596 | Evan R Berg | Emergency Medicine | 1 Boston Medical Ctr Pl, Dowling 1 South, Boston, MA 02118-2908 | 2005-10-07 |
Street Address |
1145 SAGAMORE AVE |
City | PORTSMOUTH |
State | NH |
Zip Code | 03801-5503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316903131 | Edward Hickey Drummond | Psychiatry & Neurology | 1145 Sagamore Ave, Portsmouth, NH 03801-5503 | 2006-04-21 |
1770190936 | Amber L Epison | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-09-30 |
1750997490 | Richard Lafrenaye | Social Worker | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-09-18 |
1104434828 | Sarah Zsigray | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-07-20 |
1073130340 | Caitlyn Mccormack | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-07-02 |
1700403680 | Lianna Nawn | Social Worker | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-06-26 |
1942826276 | Lily Clemons | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-06-23 |
1346865615 | Emily Woods | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-06-12 |
1841815263 | Christopher Velasquez | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-06-11 |
1265057541 | Lindsay Hamel | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
Find all providers in zip 03801 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831702588 | Shery Lynne Harrell | Social Worker | 1109 Melvin Dr, Portsmouth, VA 23701-1338 | 2020-08-24 |
1437650413 | Daniel Ray Mathuews Jr. | Social Worker | 602 Chillicothe St Ste 111, Portsmouth, OH 45662-4093 | 2018-02-23 |
1033648175 | Mary Boucher | Social Worker | 1000 Market St Ste 104, Portsmouth, NH 03801-3358 | 2017-06-11 |
1265978456 | Lynn Piersall | Social Worker | 4416 Duke Dr, Portsmouth, VA 23703-4915 | 2017-01-11 |
1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
1609286665 | Mary Beth Bloser, Licsw | Social Worker | 20 Ladd St Ste 400, Portsmouth, NH 03801-4089 | 2014-04-30 |
1962754085 | Family Solutions, Inc | Social Worker | 1412 Mt Vernon Ave, Portsmouth, VA 23707-3510 | 2012-10-12 |
1912285982 | Danielle A Thibert | Social Worker | 101 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2011-07-25 |
1417245374 | Jennifer Lh Gaudreau | Social Worker | 118 Maplewood Ave Bldg A2nd, Portsmouth, NH 03801-3787 | 2011-07-13 |
1730490335 | Julia Ovalle | Social Worker | 7 Greenleaf Woods Dr, Unit 202, Portsmouth, NH 03801-5444 | 2010-06-29 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 03801 |
Please comment or provide details below to improve the information on EVAN BERG.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.