Individual provider · Type 1 NPI

Mark Wynn Berger, L.C.S.W.

Clinical Social Worker · Lewiston, ID

NPI number 1720414634 Active

Practice location

1002 Idaho St
Lewiston, ID 83501-1938

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0660722707
Clinical Social Worker Primary 1041C0700XLCSW-26273 (ID)

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 1720414634

Mark Wynn Berger, L.C.S.W.'s National Provider Identifier is 1720414634, issued on Sep 24, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lewiston, ID. The record was last updated on Sep 24, 2013.