Individual provider Active NPI

Rebeca E. Bergofsky I, CLINICAL SOCIAL WORK

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1508931783
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR001978 Issued in NY
Practice address
55 Central Park W Apt 10D
10D
New York, NY 10023-6003
Phone
(212) 579-1184
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PR001978 NY
Clinical Social Worker 1041C0700X PR001978 NY Primary

Addresses

Primary practice location

55 Central Park W Apt 10D
10D
New York, NY 10023-6003

Mailing address

55 Central Park West
10D
New York, NY 10023-6003
Phone (212) 579-1184

Other names 1

  • Mrs. Rebeca E Bergofsky I Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PR001978NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508931783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CENTRAL PARK WEST",
            "address_2": "10D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236003",
            "telephone_number": "212-579-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CENTRAL PARK W APT 10D",
            "address_2": "10D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236003",
            "telephone_number": "212-579-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGOFSKY",
        "first_name": "REBECA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "CLINICAL SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "PR001978",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR001978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECA",
            "last_name": "BERGOFSKY",
            "middle_name": "E",
            "prefix": "MRS.",
            "suffix": "I",
            "credential": "CLINICAL SOCIAL WORK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.