Organization Active NPI

Mary Berger LMSW Acp Inc

  • Clinical Social Worker
  • Irving, TX
National Provider Identifier
1558503482
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08565 Issued in TX
Legal business name
MARY BERGER LMSW ACP INC
Practice address
511 E John Carpenter Fwy
Suite 436
Irving, TX 75062-3911
Phone
(972) 506-0700
Fax
(972) 869-4054
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Ms. Mary E. Berger, LCSW
Title
Owner
Phone
(972) 506-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 08565 TX Primary

Addresses

Primary practice location

511 E John Carpenter Fwy
Suite 436
Irving, TX 75062-3911

Mailing address

511 E John Carpenter Fwy
Suite 436
Irving, TX 75062-3911
Phone (972) 506-0700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1558503482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E JOHN CARPENTER FWY",
            "address_2": "SUITE 436",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623911",
            "telephone_number": "972-506-0700",
            "fax_number": "972-869-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E JOHN CARPENTER FWY",
            "address_2": "SUITE 436",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623911",
            "telephone_number": "972-506-0700",
            "fax_number": "972-869-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BERGER LMSW ACP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-506-0700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "08565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.