Erin Marie Bergstrom, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P009305 Issued in NC

Practice address

100 Europa Dr
Suite 260
Chapel Hill, NC 27517-2357

Phone

(919) 929-1227

Fax

(919) 968-2575

NPI assigned

Dec 17, 2014

Last updated

May 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16901/brand/1/csg/1/fhir/r4

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.

• HRC Behavioral Health & Psychiatry, PA

  dba HRC

  • Psychologist
  • Chapel Hill, NC
  • NPI 1659304780
  NPD (past)

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1417355827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EUROPA DR",
            "address_2": "SUITE 260",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172357",
            "telephone_number": "919-929-1227",
            "fax_number": "919-968-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EUROPA DR",
            "address_2": "SUITE 260",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172357",
            "telephone_number": "919-929-1227",
            "fax_number": "919-968-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTROM",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A Bergdolt, MD
• Kristin Leigh Bergenty, PT
• Gary Sterling Berger, M.D.
• Robert G Berger, MD
• Robert William Berghorn Jr., DPT, ATC, USAW
• Garrett Alexander Berk, MD
• David Joseph Berkoff, MD
• Molly C Berkoff, MD
• Callie Merriam Berkowitz
• Joshua Norstrom Berkowitz, MD

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.