Katharine Mary Bergacs, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05470500 Issued in NJ

Practice address

84 Park Ave Ste E114
Flemington, NJ 08822-1176

Phone

(908) 751-1208

Fax

(908) 824-2369

NPI assigned

May 9, 2008

Last updated

Oct 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 23, 2021 through Mar 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• My Place for Peace, LLC

  • Professional Counselor
  • Flemington, NJ
  • NPI 1023659976
  NPD Authorized official

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1245407162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PARK AVE STE E114",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221176",
            "telephone_number": "908-751-1208",
            "fax_number": "908-824-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PARK AVE STE E114",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221176",
            "telephone_number": "908-751-1208",
            "fax_number": "908-824-2369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Main St",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088221493",
            "country_code": "US",
            "telephone_number": "908-310-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGACS",
        "first_name": "KATHARINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05470500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph M Bello, MD
• Erika Paige Bellomo
• Robert A Benigno, M.D.
• Guy Mitchell Bennett, D.M.D.
• William Earl Bentley IV, D.O.
• Tamara Joy Berisha, L.AC.
• Marie G Bernard, MD
• Shirley Bershad, MSW, LCSW
• Samantha Bertelson, CPRS
• Ashley Berth, MA LPC

• Clinical Social Worker in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.