Kristen Dunlap-Berg, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.105827 Issued in IL

Practice address

200 N Emerald LN Ste 3
Carbondale, IL 62901-2170

Phone

(618) 457-6703

Fax

(618) 529-4563

NPI assigned

Aug 25, 2021

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Centerstone of Illinois, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Alton, IL
  • NPI 1033570262
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1831866029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W MAIN ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962210",
            "telephone_number": "618-937-6483",
            "fax_number": "618-937-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N EMERALD LN STE 3",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012170",
            "telephone_number": "618-457-6703",
            "fax_number": "618-529-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP-BERG",
        "first_name": "KRISTEN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.105827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Dreuth
• Stacey Droll, BAS, CD (DONA)
• Christopher Abbott Dueker, LCPC
• Nina Rose Dunavan, CPM
• Otis James Duncan, MA
• Gail Maclin Durkota, M.S., CCC-SLP
• Michael Robert Durr, D.M.D.
• E Claire Wellness
• Phillip Lynn Easton Sr., R.N.
• Jannice Edmonson, NP

• Social Worker in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.