William Gregory Bergman, L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-2527 Issued in OH

Practice address

3869 Darrow Rd
Suite 101
Stow, OH 44224-2691

Phone

(330) 686-2748

Fax

(330) 686-2784

NPI assigned

Feb 7, 2007

Last updated

Feb 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Counseling Professionals, Inc.

  • Clinical Social Worker
  • Stow, OH
  • NPI 1659499465

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1356481634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 DARROW RD",
            "address_2": "SUITE 101",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242691",
            "telephone_number": "330-686-2748",
            "fax_number": "330-686-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 DARROW RD",
            "address_2": "SUITE 101",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242691",
            "telephone_number": "330-686-2748",
            "fax_number": "330-686-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "WILLIAM",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "872291",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-2527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krisitn Beck, PT
• Bria Becker
• Gregory Michael Beddell, M.D.
• David Begly
• Ashley L Berdine, LISW-S
• Bes of Ohio LLC (MEDGroup)
• Bes of Ohio, LLC Dba Medgroup
• Bes of Ohio, LLC, Dba Medgroup
• Besso Clinic of Chiropractic, Inc.
• Amy Katherine Besso, D.C.

• Clinical Social Worker in Stow, OH
• Providers in Stow, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.