Individual provider · Type 1 NPI

Lindsay Ray Bergman, LISW-S, LCSW

Clinical Social Worker · Collins, MS

NPI number 1710197173 Active

Practice location

190 Wilson Rd
Collins, MS 39428-6030

Mailing address

7239 Fernbank Ave
Cincinnati, OH 45233-1011

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker 1041C0700XC6874 (MS)
Clinical Social Worker Primary 1041C0700XI1450832SUPV (OH)

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 1710197173

Lindsay Ray Bergman, LISW-S, LCSW's National Provider Identifier is 1710197173, issued on May 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Collins, MS. The record was last updated on Oct 11, 2022.