NPI 1700358561 · live from the CMS NPI Registry
Leslie Lauren Berberich, LCSW
Social Worker, Clinical in Palmer, AK. National Provider Identifier 1700358561, active.
NPI record
| NPI | 1700358561 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 11921 E Palmer Wasilla Hwy, Palmer, AK 99645 |
| Practice phone | 907-745-2634 |
| Mailing address | Po Box 874583, Wasilla, AK 99687 |
| Enumerated | December 18, 2018 |
| Last updated | December 18, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 105341 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.