Provider Demographics
NPI:1881064533
Name:BERBEROVIC, LEJLA (LCSW)
Entity type:Individual
Prefix:MS
First Name:LEJLA
Middle Name:
Last Name:BERBEROVIC
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4320 DIPLOMACY DR
Mailing Address - Street 2:PCC 3 WEST
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5925
Mailing Address - Country:US
Mailing Address - Phone:907-729-4955
Mailing Address - Fax:907-729-4139
Practice Address - Street 1:4320 DIPLOMACY DR
Practice Address - Street 2:PCC 3 WEST
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5925
Practice Address - Country:US
Practice Address - Phone:907-729-4955
Practice Address - Fax:907-729-4139
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK1010021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical