Individual provider Active NPI

Rifkie Rita Bergman, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1154753192
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R053971-1 Issued in NY
Practice address
813 Quentin Rd
Counterforce Suite 203
Brooklyn, NY 11223-2251
Phone
(718) 787-4412
Fax
(718) 787-4418
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R053971-1 NY Primary

Addresses

Primary practice location

813 Quentin Rd
Counterforce Suite 203
Brooklyn, NY 11223-2251

Mailing address

1669 E 23Rd St
Brooklyn, NY 11229-1518
Phone (718) 787-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R053971-1NYMDClinical Social Worker
053971NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
National Society for Hebrew Day Schools Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1154753192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291518",
            "telephone_number": "718-787-4412",
            "fax_number": "718-787-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 QUENTIN RD",
            "address_2": "COUNTERFORCE SUITE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232251",
            "telephone_number": "718-787-4412",
            "fax_number": "718-787-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "RIFKIE",
        "middle_name": "RITA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053971-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.