Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. THERESA BERGOLD, LMSW
ActiveMS. THERESA BERGOLD, LMSW is a Clinical Social Worker healthcare provider located in LAKE RONKONKOMA, New York. NPI 1831613868 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1831613868
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2017 (9.0153714920493 yrs)
- Last Updated
- Aug 2, 2024
- License
-
096848 (NY)
Practice Information
- Address
-
161 LAKE SHORE RDLAKE RONKONKOMA, NY, 117793182Browse NY providers · Browse ZIP 11779
- Phone
- 6314715666
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| DAWN MARIE WIGUTOW | — | 1871713065 |
| MRS. JOAN MARIE RYAN | LCSW | 1932492766 |
| TARA JEAN PETRUNGARO | LCSW | 1083134605 |
| FIONA MCBREEN | LMSW | 1669164141 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.