Colleen Marie Bergen

Primary specialty

Social WorkerTaxonomy code 104100000X

License

113899 Issued in NY

Practice address

4643 215TH PL Apt 3a
Bayside, NY 11361-3428

Phone

(718) 683-6779

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1548174816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 215TH PL APT 3A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613428",
            "telephone_number": "718-683-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 215TH PL APT 3A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613428",
            "telephone_number": "718-683-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreen Pamela Bell, RN, ANP
• Thomi Bella-Giouroukakis
• Steven John Bellanie
• John-Paul Salvatore Bellistri, M.D.
• Lisa Ben-Aderet, FNP
• Paul Michael Berger-Gross, PH.D.
• Helene Berger, OTR
• Audrey Beth Berman-Davidowitz, MD
• Barrie L Berman
• Linda Sherry Berman, PHD.

• Social Worker in Bayside, NY
• Providers in Bayside, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.