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NICOLE THERESA BERG VI LICSW
NPI 1982321865
Counselor in Destin, FL

Active since October 21, 2022
301 CORINTHIAN PL, DESTIN, FL 32541(210) 784-0397 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Theresa Berg Vi Licsw NPPES

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

NICOLE THERESA BERG VI LICSW (NPI 1982321865) is an individual counselor in Destin, Florida, licensed in Florida (ISW17459) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1982321865
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameNICOLE THERESA BERG VICredential: LICSW
Location Address301 CORINTHIAN PLDestin, FL 32541-5338
Mailing Address301 Corinthian PlDestin, FL 32541-5338 · (210) 784-0397
Phone(210) 784-0397
Sole ProprietorNo
Enumeration DateOctober 21, 2022
NPPES CertifiedOctober 21, 2022
✔ NPI 1982321865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in FL · ISW17459
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
301 CORINTHIAN PL, Destin, FL 32541
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Other Identifiers 1

Medicaid409907FL

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 Nicole Berg's NPI number?

The NPI number for Nicole Berg is 1982321865. It was assigned to this individual provider in the NPPES registry on October 21, 2022.

Where is Nicole Berg located?

Nicole Berg practices at 301 Corinthian Pl, Destin, FL 32541. The listed phone number is (210) 784-0397.

What is Nicole Berg's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Nicole Berg was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.