MR. MARK WYNN BERGER (NPI# 1720414634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720414634 |
| Entity Type | Individual |
| Full Name | MR. MARK WYNN BERGER |
| Credential | L.C.S.W. |
| Practice Address |
1002 Idaho St Lewiston ID 83501-1938 |
| Practice Telephone | 2087467661 |
| Mailing Telephone | 2087988744 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0660722707 | Behavioral Health & Social Service Providers | |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-26273 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295028819 | Mark Berger | Dentist | 1890 N University Dr Ste 210, Coral Springs, FL 33071-8963 | 2011-05-16 |
| 1326123985 | Mark B Berger | Internal Medicine | 7501 Fannin St Ste 750, Houston, TX 77054-1957 | 2006-10-25 |
| 1467534420 | Mark Edward Berger | Optometrist | 2400 Harding Highway, Walmart Vision Center Buckeye Doctors, Lima, OH 45804-3428 | 2006-10-19 |
| 1700816253 | Mark Jay Berger | Radiology | 2 Hudson Pl, First Floor, Hoboken, NJ 07030-5594 | 2006-07-03 |
| 1023471000 | Mark Berger | Clinical Nurse Specialist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2016-03-29 |
| 1891861589 | Mark Jeffrey Berger | Podiatrist | G12 Brier Hill Ct, East Brunswick, NJ 08816-3338 | 2006-11-27 |
| 1134203714 | Mark E Berger | Dentist | 7400 W Brown Deer Rd, Milwaukee, WI 53223-2078 | 2006-10-24 |
| 1124034830 | Mark L Berger | Psychiatry & Neurology | 4273 Montgomery Blvd Ne, Suite 110, Albuquerque, NM 87109-6746 | 2006-08-01 |
| 1962481747 | Mark W Berger | Radiology | 166 4th St E, Saint Paul, MN 55101-1421 | 2006-01-11 |
| 1962491449 | Mark D Berger | Internal Medicine | 230 W Washington Sq, 3rd Floor, Philadelphia, PA 19106-3500 | 2005-10-18 |
| Street Address |
1002 IDAHO ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568647998 | Ka-sia Michelle Baumer | Social Worker | 1002 Idaho St, Lewiston, ID 83501-1938 | 2008-01-03 |
| 1417474859 | New Beginnings Counseling and Support Services | Clinic/Center | 1002 Idaho St, Lewiston, ID 83501-1938 | 2017-08-25 |
| 1447686464 | Michelle Rene Fitting | Social Worker | 1002 Idaho St, Lewiston, ID 83501-1938 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| 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 |
|---|---|---|---|---|
| 1215550108 | Jasmine Dawn Hussey | Social Worker | 17 Cram Ave Apt 3, Lewiston, ME 04240-3750 | 2020-05-26 |
| 1124650106 | Summer Overberg | Social Worker | 908 Idaho St, Lewiston, ID 83501-1937 | 2020-02-07 |
| 1922665173 | Shana Wallace | Social Worker | 150 South Ave # 2, Lewiston, ME 04240-5759 | 2019-05-23 |
| 1407336746 | Kelsey Wilcox | Social Worker | 37 Park St Ste 203, Lewiston, ME 04240-7195 | 2018-08-16 |
| 1003301680 | Serenity Treatment LLC | Social Worker | 1229 Main St Ste 101, Lewiston, ID 83501-6901 | 2018-06-26 |
| 1053830299 | Rebecca Baker | Social Worker | 37 Park St Ste 201, Lewiston, ME 04240-7196 | 2017-09-19 |
| 1043660343 | Heath B Walters | Social Worker | 504 Main St Ste 470, Lewiston, ID 83501-1806 | 2016-06-16 |
| 1700253614 | Eric Stephen Esty | Social Worker | 35 Westminster St, Lewiston, ME 04240-3531 | 2015-08-26 |
| 1205213857 | Brandon Mcintosh | Social Worker | 523 1/2 Main St Ste 7, Lewiston, ID 83501-1870 | 2015-05-04 |
| 1285026229 | Lauren Nichols | Social Worker | 1310 9th Ave, Lewiston, ID 83501-3104 | 2015-02-27 |
| Find all providers in LEWISTON | ||||
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| 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.