Active NPI
Catherine Joan Bergman, CERTIFIED SOCIAL WOR
- Clinical Social Worker
- Nyc, NY
National Provider Identifier
1164576625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36219
- Practice address
- 240 First Avenue
Apt 10G
Nyc, NY 10009-2605 - Phone
- (212) 260-5997
- Fax
- (212) 260-5997
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 36219 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 44SW00118000 | NJ |
Addresses
Primary practice location
240 First Avenue
Apt 10G
Nyc, NY 10009-2605
Mailing address
240 First Avenue
Apt 10G
Nyc, NY 10009-2605
Phone (212) 260-5997
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SW00118000 | NJ | MD | Clinical Social Worker |
| 36219 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164576625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 FIRST AVENUE",
"address_2": "APT 10G",
"city": "NYC",
"state": "NY",
"postal_code": "100092605",
"telephone_number": "212-260-5997",
"fax_number": "212-260-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 FIRST AVENUE",
"address_2": "APT 10G",
"city": "NYC",
"state": "NY",
"postal_code": "100092605",
"telephone_number": "212-260-5997",
"fax_number": "212-260-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "CATHERINE",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "CERTIFIED SOCIAL WOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "36219",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SW00118000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nyc, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.