Provider Demographics
NPI:1073270872
Name:BERGER, CORINNE ELIZABETH (LSW)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:ELIZABETH
Last Name:BERGER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 RUNNING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-8969
Mailing Address - Country:US
Mailing Address - Phone:484-663-3550
Mailing Address - Fax:
Practice Address - Street 1:450 S 5TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-2642
Practice Address - Country:US
Practice Address - Phone:610-372-5654
Practice Address - Fax:610-898-9229
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW133893104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker