Individual provider · Type 1 NPI

Avital Bergman

Clinical Social Worker · Chicago, IL

NPI number 1124923602 Active

Practice location

6815 W 63rd St
Chicago, IL 60638-4048

Call (708) 304-3010 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1124923602

Avital Bergman's National Provider Identifier is 1124923602, issued on Oct 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 13, 2026.