Individual provider Active NPI

Sandra Bergfeld, MSW, LMSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1457441115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801061244 Issued in MI
Practice address
2360 S Linden Rd
Suite 300
Flint, MI 48532-5420
Phone
(810) 732-0560
Fax
(810) 732-6351
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801061244 MI Primary

Addresses

Primary practice location

2360 S Linden Rd
Suite 300
Flint, MI 48532-5420

Mailing address

1208 Westwood Dr
Flint, MI 48532-2663
Phone (810) 732-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040309000119 MI Practitioner - Clinical Social Worker 8123916475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6199 Miller Rd
Suite a
Swartz Creek, MI 48473-1585
Phone 81063009041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801061244MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Innerlight Counseling Services LLC Clinical CurrentSince Jan 30, 2003 Accepting new patients
Oakland Psychological Clinic, P.C. Clinical Past Accepting new patients

Locations

6199 Miller Rd
Ste A
Swartz Creek, MI 48473
Phone (810) 207-5759

Organizations & group practices 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457441115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 WESTWOOD DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322663",
            "telephone_number": "810-732-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 S LINDEN RD",
            "address_2": "SUITE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325420",
            "telephone_number": "810-732-0560",
            "fax_number": "810-732-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGFELD",
        "first_name": "SANDRA",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.