Sarah E Bergum, LCSW
Social Worker, Clinical in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1164097580
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1164097580
- Entity type
- Individual (NPI-1)
- Name
- Sarah E Bergum
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2021
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904012963 | VA | Yes |
Practice location
4445 Corporation Ln Ste 264Virginia Beach, VA 23462-3671
Phone 757-375-6702
Mailing address
4445 Corporation Ln Ste 264Virginia Beach, VA 23462-3671
Phone 757-375-6702
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