Robin Berger, LCSW

Individual provider Active NPI Clinical Social Worker · Auburn, IN

NPI 1619038692 · NPPES record last updated Jan 8, 2010

Key facts

NPI
1619038692
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
34005179A (IN)
Practice address
1800 Wesley Rd
Auburn, IN 46706-3653
Phone
(260) 925-2453
Fax
(260) 925-0830
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
34005179AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Center Inc Past
since Mar 15, 2016
Accepting new patients
Northeastern Center, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005179A IN Yes

Addresses

Primary practice location

1800 Wesley Rd
Auburn, IN 46706-3653

Mailing address

PO Box 817
Kendallville, IN 46755-0817
Phone (260) 347-2453

Other providers in Auburn, IN

All providers in Auburn, IN · Clinical Social Worker in Indiana

Sources for this page

Verify at the official NPI Registry.