Provider Demographics
NPI:1982292652
Name:BERGER, HILLARY L (MSW)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:L
Last Name:BERGER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 EMERSON ST STE 103
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-4970
Mailing Address - Country:US
Mailing Address - Phone:904-236-6776
Mailing Address - Fax:904-416-1884
Practice Address - Street 1:4940 EMERSON ST STE 103
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-4970
Practice Address - Country:US
Practice Address - Phone:904-236-6776
Practice Address - Fax:904-416-1884
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15014104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker