Individual provider · Type 1 NPI

Sage Bergstrom, MSW LCSW

Clinical Social Worker · Green Valley, AZ

NPI number 1659460046 Active

Practice location

421 E Placita Del Venado
Green Valley, AZ 85614-3632

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 2039 (AZ)

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 1659460046

Sage Bergstrom, MSW LCSW's National Provider Identifier is 1659460046, issued on Oct 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Green Valley, AZ. The record was last updated on Jul 8, 2007.