Individual provider Active NPI

Jana Bergfeld, MSW,LCSW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1366573610
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700113 Issued in OH
Practice address
1071 Fishinger Rd
Ste 211
Columbus, OH 43221-2357
Phone
(708) 373-5959
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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 I.1700113 OH Primary

Addresses

Primary practice location

1071 Fishinger Rd
Ste 211
Columbus, OH 43221-2357

Mailing address

1071 Fishinger Rd
Ste 211
Columbus, OH 43221-2357
Phone (708) 373-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210917001384 OH Practitioner - Clinical Social Worker 8921405945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1071 Fishinger Rd
Suite 211
Columbus, OH 43221-2357
Phone (708) 373-5959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jana Bergfeld Lisw LLC CurrentSince May 4, 2021 Accepting new patients

Locations

1071 Fishinger Rd
Ste 211
Columbus, OH 43221
Phone (708) 373-5959

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1366573610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 FISHINGER RD",
            "address_2": "STE 211",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212357",
            "telephone_number": "708-373-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 FISHINGER RD",
            "address_2": "STE 211",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212357",
            "telephone_number": "708-373-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGFELD",
        "first_name": "JANA",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.