Individual provider · Type 1 NPI
Theresa Bergold, LMSW
Clinical Social Worker · Lake Ronkonkoma, NY
Practice location
161 Lake Shore Rd
Lake Ronkonkoma, NY 11779-3182
Mailing address
10 Railroad Ave Apt 4
Bethpage, NY 11714-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 096848 (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…
5 other providers at this address
- Damian Family Care Centers, Inc.Federally Qualified Health Center (FQHC) Lake Ronkonkoma, NY NPI 1265970834
- Amanda Mary Hurrinus I, LPNLicensed Practical Nurse Lake Ronkonkoma, NY NPI 1710612585
- Leann McCabeSocial Worker Ronkonkoma, NY NPI 1134640238
- Lindsay Blair Daniels, LMSWSocial Worker Lake Ronkonkoma, NY NPI 1134086671
- Saturne PhillipSocial Worker Lake Ronkonkoma, NY NPI 1134640980
Other clinical social worker providers in Lake Ronkonkoma
- Tara Jean Petrungaro, LCSWClinical Social Worker Lake Ronkonkoma, NY NPI 1083134605
- Fiona McBreen, LMSWClinical Social Worker Lake Ronkonkoma, NY NPI 1669164141
- Dawn Marie WigutowClinical Social Worker Lake Ronkonkoma, NY NPI 1871713065
- Joan Marie Ryan, LCSWClinical Social Worker Lake Ronkonkoma, NY NPI 1932492766
About NPI 1831613868
Theresa Bergold, LMSW's National Provider Identifier is 1831613868, issued on Aug 1, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Aug 2, 2024.