Individual provider Active NPI

Natalie Susan Berg

  • Clinical Social Worker
  • Gualala, CA
National Provider Identifier
1013644368
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109261 Issued in CA
Practice address
46900 Ocean Drive
Gualala, CA 95445-9544
Phone
(707) 884-4005
Fax
(707) 884-4625
NPI assigned
Aug 5, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 109261 CA Primary

Addresses

Primary practice location

46900 Ocean Drive
Gualala, CA 95445-9544

Mailing address

PO Box 448
Point Arena, CA 95468-0448
Phone (707) 884-4005

Other practice location 1

175 Main St.
Point Arena, CA 95468629
Phone (707) 884-4005 ext. 133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226000912 CA Practitioner - Clinical Social Worker 4183105240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

46900 Ocean View Way
Gualala, CA 95445-7548
Phone (707) 884-4005

PO Box
Suite 1100
Gualala, CA 95445

PO Box
Suite 1100
Gualala, CA 95445-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109261CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Coast Medical Services, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Redwood Coast Medical Services, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Redwood Coast Medical Services, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: natalie.berg.p1@direct.rcms-healthcare.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1013644368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "city": "POINT ARENA",
            "state": "CA",
            "postal_code": "954680448",
            "telephone_number": "707-884-4005",
            "fax_number": "707-884-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46900 OCEAN DRIVE",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954459544",
            "telephone_number": "707-884-4005",
            "fax_number": "707-884-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Main St.",
            "address_purpose": "LOCATION",
            "city": "Point Arena",
            "state": "CA",
            "postal_code": "95468629",
            "country_code": "US",
            "telephone_number": "707-884-4005 x133",
            "fax_number": "707-884-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "NATALIE",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gualala, CA

Sources for this page

Verify at the official NPI Registry.