Clear Blue Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLEAR BLUE COUNSELING PLLC

Practice address

7282 Forrest Rd
Warrenton, VA 20187-4528

Phone

(201) 317-7099

NPI assigned

Jan 13, 2023

Last updated

Nov 5, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candee Bergstrom, LCSWNPI 1083703219

Title

Owner

Phone

(201) 317-7099

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candee Lynn Bergstrom, LCSW

  • Mental Health Counselor
  • Fort Lee, VA
  • NPI 1083703219
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1053026096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7282 FORREST RD",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201874528",
            "telephone_number": "201-317-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7282 FORREST RD",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201874528",
            "telephone_number": "201-317-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR BLUE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "BERGSTROM",
        "authorized_official_first_name": "CANDEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-317-7099",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charles Roland Clater Jr., D.D.S.
• Sharon Louise Coffey, PSYD, LPC, NCC
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• Karen Cole, L.P.T.
• Mandy Colegrove, CRNP
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• Clinical Social Worker in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.