Individual provider · Type 1 NPI

Carrie Bergen

Clinical Social Worker · Chicago, IL

NPI number 1235567439 Active

Practice location

4980 N Marine Dr, Unit 831
Chicago, IL 60640-3969

Mailing address

4980 N. Marine Drive, Unit 831
Chicago, IL 60640

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.013423 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1235567439

Carrie Bergen's National Provider Identifier is 1235567439, issued on Oct 24, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2013.