Individual provider Active NPI

Helena Bergman

  • Clinical Social Worker
  • Paint Lick, KY
National Provider Identifier
1245938935
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259959 Issued in KY
Practice address
11585 Paint Lick Spur
Paint Lick, KY 40461-8370
Phone
(859) 925-4610
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 259959 KY Primary

Addresses

Primary practice location

11585 Paint Lick Spur
Paint Lick, KY 40461-8370

Mailing address

11585 Paint Lick Spur
Paint Lick, KY 40461-8370
Phone (859) 925-4610

Other names 1

  • Lena Bergman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314002428 KY Practitioner - Clinical Social Worker 6406378835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluegrass Counseling and Trauma ServicesGroup PAC ID 0042693137, 7 clinicians

Practice addresses (Care Compare)

503 Darby Creek Rd
Suite C
Lexington, KY 40509-1603
Phone (859) 368-2567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Counseling & Trauma Services CurrentSince Feb 7, 2025 Accepting new patients

Locations

503 Darby Creek Rd
Ste C
Lexington, KY 40509
Phone (859) 368-2567

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": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1245938935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11585 PAINT LICK SPUR",
            "city": "PAINT LICK",
            "state": "KY",
            "postal_code": "404618370",
            "telephone_number": "859-925-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11585 PAINT LICK SPUR",
            "city": "PAINT LICK",
            "state": "KY",
            "postal_code": "404618370",
            "telephone_number": "859-925-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "HELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENA",
            "last_name": "BERGMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paint Lick, KY

Sources for this page

Verify at the official NPI Registry.