Individual provider · Type 1 NPI

Elana Amy Bergman, LMSW

Clinical Social Worker · Douglaston, NY

NPI number 1669533071 Active

Practice location

24302 Northern Blvd
Douglaston, NY 11362-1150

Call (718) 423-6200 Map

Fax (718) 423-9762

Mailing address

110 Bennett Ave, Apt 2F
New York, NY 10033-2308

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP54615 (NY)

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 1669533071

Elana Amy Bergman, LMSW's National Provider Identifier is 1669533071, issued on Dec 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Douglaston, NY. The record was last updated on Jul 8, 2007.