Terisa Maria Berger, LCSW
Individual provider Active NPI Clinical Social Worker · Davison, MI
NPI 1255784922 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1255784922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 106212 (CA)
- Practice address
- 8101 Boulder Dr
Davison, MI 48423-8641 - Phone
- (909) 838-4030
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fusion Care Group a Psychological Professional Corporation
Practice addresses (Care Compare)
2271 Alpine Blvd
Suite a
Alpine, CA 91901-1101
Phone (619) 448-1216
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220329000837 | CA | Practitioner - Clinical Social Worker | 5496141582 | Reassigns benefits to 3 organizations |
| I20260319002297 | MI | Practitioner - Clinical Social Worker | 5496141582 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801121585 | MI | MD | Clinical Social Worker |
| 106212 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Care Group, a Psychological Professional Corporation | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
| Adventist Health Clearlake Hospital Inc. | Current |
Accepting new patients | |
| Grow Healthcare Group PC | Mental Health | Current |
Accepting new patients |
Locations
2271 Alpine Blvd
Ste A
Alpine, CA 91901
Phone (619) 289-7322
15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820
15230 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 995-4500
2124 S El Camino Real
Ste 101
Oceanside, CA 92054
Phone (760) 405-4787
5125 Skyway
Paradise, CA 95969
Phone (530) 872-2000
3511 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 289-7322
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801121585 | MI | |
| Clinical Social Worker | 1041C0700X | 106212 | CA | Yes |
Addresses
Primary practice location
8101 Boulder Dr
Davison, MI 48423-8641
Mailing address
2021 21St Ave S Ste C400
Nashville, TN 37212-4350
Other providers in Davison, MI
- Caitlin Marie Bearss
- Courtney Beauvais
- Brian J Beck
- Ralph J Becker
- Megan Anne Benton
- Ashley Jeanette Berry
- Trevor Graham Bet
- Biblical Health LLC
- Lisa Bice
- Hannah Marie Blake
All providers in Davison, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.