Organization Active NPI

Kate Bergman LLC

  • Clinical Social Worker
  • Solon, OH
National Provider Identifier
1952737868
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0008916 Issued in OH
Legal business name
KATE BERGMAN LLC
Practice address
6200 Som Center Rd
Suite D20
Solon, OH 44139-2944
Phone
(440) 836-3195
Fax
(440) 248-5599
NPI assigned
Sep 24, 2013
Last updated
Sep 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Kate Bergman, MASW
Title
Ceo
Phone
(440) 836-3195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0008916 OH Primary

Addresses

Primary practice location

6200 Som Center Rd
Suite D20
Solon, OH 44139-2944

Mailing address

6200 Som Center Rd
Suite D20
Solon, OH 44139-2944
Phone (440) 836-3195

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1952737868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER RD",
            "address_2": "SUITE D20",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392944",
            "telephone_number": "440-836-3195",
            "fax_number": "440-248-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER RD",
            "address_2": "SUITE D20",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392944",
            "telephone_number": "440-836-3195",
            "fax_number": "440-248-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE BERGMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-836-3195",
        "authorized_official_credential": "MASW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.