Organization Active NPI

Suzanne Bergmann LCSW PLLC

  • Clinical Social Worker
  • Hauppauge, NY
National Provider Identifier
1215818240
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUZANNE BERGMANN LCSW PLLC
Practice address
800 Veterans Memorial Highway, Suite 303
Hauppauge, NY 11788
Phone
(631) 600-3407
Fax
(631) 980-0112
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Mrs. Suzanne Bergmann, LCSWNPI 1447527601
Title
Owner
Phone
(631) 600-3407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

800 Veterans Memorial Highway, Suite 303
Hauppauge, NY 11788

Mailing address

2100 Nesconset Hwy # 1067
Stony Brook, NY 11790-3503
Phone (631) 600-3407

National Provider Directory

National Provider Directory

Locations

800 Veterans Memorial Hwy
Ste 303
Hauppauge, NY 11788
Phone (631) 600-3407

2100 Nesconset Hwy
Stony Brook, NY 11790
Phone (401) 617-8101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1215818240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NESCONSET HWY # 1067",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903503",
            "telephone_number": "631-600-3407",
            "fax_number": "631-980-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VETERANS MEMORIAL HIGHWAY, SUITE 303",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-600-3407",
            "fax_number": "631-980-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE BERGMANN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "BERGMANN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-600-3407",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.