Henryetta Hope Bergstresser

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW90746 Issued in CA

Practice address

427 F St Ste 215
Eureka, CA 95501-1040

Phone

(707) 296-9939

Fax

(707) 361-9030

NPI assigned

Oct 18, 2012

Last updated

Jul 8, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1831442532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "BAYSIDE",
            "state": "CA",
            "postal_code": "955240143",
            "telephone_number": "707-296-9939",
            "fax_number": "707-361-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 F ST STE 215",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011040",
            "telephone_number": "707-296-9939",
            "fax_number": "707-361-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTRESSER",
        "first_name": "HENRYETTA",
        "middle_name": "HOPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW 36230",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW90746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Benz
• Joy Michelle Rahayel Berbano
• Robert Bruce Berg, D.D.S.
• Zoe Julicia Berges
• Melissa Bergmann, B.A.
• Raven Sequoia Markee Bermea
• Jessica Lin Berti, RN
• Juliana Bertolucci, BCBA
• Jeffrey Arnold Bertotti
• Francis Rose Best, LMFT

• Clinical Social Worker in Eureka, CA
• Providers in Eureka, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.