Healthcare Provider Details

I. General information

NPI: 1073270872
Provider Name (Legal Business Name): CORINNE ELIZABETH BERGER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N PARK RD BLDG 5
WYOMISSING PA
19610-2945
US

IV. Provider business mailing address

101 RUNNING CREEK DR
SINKING SPRING PA
19608-8969
US

V. Phone/Fax

Practice location:
  • Phone: 610-823-7799
  • Fax:
Mailing address:
  • Phone: 484-663-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW027162
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: