MEDICARE: MRS. ELIZABETH BERGMAN RAHAMIM LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	21882	CA
2	1041C0700X	Clinical Social Worker	15057	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245307180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH BERGMAN RAHAMIM LCSW

Provider Business Mailing Address
First Line	:	4980 S ALMA SCHOOL RD STE A2-242
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-5605
Country	:	US
Telephone Number	:	480-252-5152
Fax Number	:	480-685-4948

Provider Business Practice Location Address
First Line	:	3377 S PRICE RD STE 103
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-3573
Country	:	US
Telephone Number	:	602-412-8335
Fax Number	:	480-685-4948

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	03/17/2023

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