Hava Bergdoll, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013104 Issued in PA

Practice address

945 E Haverford Rd
Suite 202 a
Bryn Mawr, PA 19010-3814

Phone

(610) 551-2534

NPI assigned

Sep 3, 2006

Last updated

Dec 14, 2014By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Middle Way Professional Counseling, LLC

  • Professional Counselor
  • Newtown Square, PA
  • NPI 1285495713
  NPD (past)

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418515200000",
    "number": "1255433884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 AGNES AVE",
            "city": "MORTON",
            "state": "PA",
            "postal_code": "190701818",
            "telephone_number": "610-551-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E HAVERFORD RD",
            "address_2": "SUITE 202 A",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103814",
            "telephone_number": "610-551-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGDOLL",
        "first_name": "HAVA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2014-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2321091000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7404316",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2321091000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne D. Benash, M.ED.
• Manju Bengaluru Jayanna, MBBS
• Valerie Anne Benner, P.T.
• Michael Robert Benzon, MS, PHARMD
• Caroline B Bera, DO
• Michelle Andrea Berger, LPT
• Leigh S Bergmann, M.D.
• Brian Berman, PSY.D.
• Guy T Bernstein, MD
• Eloise J Berry, PH.D.

• Clinical Social Worker in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.