KELLY NICOLE BERG LCSW
NPI 1144667536
Social Worker - Clinical in Chicago, IL

Active since May 27, 2013
6012 N KENMORE AVE, 1C, CHICAGO, IL 60660(734) 674-2922 Get Directions Write a Review

NPPES record last updated: May 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Nicole Berg Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY NICOLE BERG LCSW (NPI 1144667536) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.015368) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1144667536
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY NICOLE BERGCredential: LCSW
Location Address6012 N KENMORE AVE, 1CChicago, IL 60660-5014
Mailing Address6012 N Kenmore Ave, 1cChicago, IL 60660-5014 · (734) 674-2922
Sole ProprietorYes
Enumeration DateMay 27, 2013
NPI 1144667536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149.015368
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 2442535 (IL)
6012 N KENMORE AVE, Chicago, IL 60660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Berg's NPI number?

The NPI number for Kelly Berg is 1144667536. It was assigned to this individual provider in the NPPES registry on May 27, 2013.

Where is Kelly Berg located?

Kelly Berg practices at 6012 N Kenmore Ave 1C, Chicago, IL 60660. The listed phone number is (734) 674-2922.

What is Kelly Berg's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly Berg was last updated on May 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.