Individual provider · Type 1 NPI

Robert Bergen, LCSW

Clinical Social Worker · Forest Hills, NY

NPI number 1740436393 Active

Practice location

11241 Queens Blvd, Suite 203
Forest Hills, NY 11375-5564

Call (917) 769-9636 Map

Mailing address

69-34 B 186th Lane
Fresh Meadows, NY 11365-4434

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR025838 (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 1740436393

Robert Bergen, LCSW's National Provider Identifier is 1740436393, issued on Aug 14, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Forest Hills, NY. The record was last updated on Aug 14, 2008.