Amy J Bergh, LSW
Case Manager/Care Coordinator in Fargo, ND. Individual provider (NPI-1).
NPI number1295882264
StatusActive
Last updated in NPPESAug 26, 2020
Details
- NPI
- 1295882264
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy J Bergh
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Certification date
- Aug 26, 2020
- Last updated
- Aug 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 104100000X | Social Worker | 13676 | MN | |
| 247200000X | Technician, Other | – | – |
Practice location
2624 9th Ave SFargo, ND 58103-2350
Phone 701-298-4500 · Fax 701-298-4400
Mailing address
2624 9th Ave SFargo, ND 58103-2350
Phone 701-298-4500 · Fax 701-298-4400
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