EVAN BERG


Address: 1145 Sagamore Ave, Portsmouth, NH 03801-5503
Phone: 6034316703

EVAN BERG (NPI# 1497297873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
2256 NH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH 3078870 05

Other Providers EVAN BERG

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

Office Location

Street Address 1145 SAGAMORE AVE
City PORTSMOUTH
State NH
Zip Code 03801-5503

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City PORTSMOUTH
Zip Code 03801

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Dataset Information

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.

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