Van Den Berg, Talya Kim
Van Den Berg, Talya Kim is an sole proprietor health care provider with primary practice located at 3556 Sprigg St S Unit 53 , Frederick MD 21704-7935. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Van Den Berg, Talya Kim can be contacted via phone (858) 717-4214.Contact Information
Primary practice address
3556 Sprigg St S Unit 53
Frederick MD 21704-7935
Phone: (858) 717-4214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS25299 | California |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 24084 | Maryland |
Profile Details
| NPI number | 1932543162 |
|---|---|
| LBN Legal business name | Van Den Berg, Talya Kim |
| Credentials | LCSW-C, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2013 |
| Last updated | Feb 11th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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