Kerri A Bergendahl, MSW, LICSW
Social Worker, Clinical in Springfield, Massachusetts
1104110600- Practice location
- 300 Carew Street, Ste 2, Springfield, MA 01104-2146
- Phone
- 413-794-9816
- Fax
- 413-794-4945
- Last updated
- April 9, 2019
Kerri A Bergendahl is a Social Worker, Clinical based in Springfield, MA. Kerri A Bergendahl practices in Springfield, MA and has the professional credentials of MSW, LICSW. The NPI Number for Kerri A Bergendahl is 1104110600 and holds a License No. 117748 (MA). The current practice location address for Kerri A Bergendahl is 300 Carew Street, Ste 2, Springfield, MA 01104-2146 and can be reached out via phone at 413-794-9816 and via fax at 413-794-4945.
Provider Profile Details
- NPI Number
- 1104110600
- Provider Name
- Kerri A Bergendahl
- Credential
- MSW, LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 300 Carew Street, Ste 2, Springfield, MA 01104-2146
- Phone Number
- 413-794-9816
- Fax Number
- 413-794-4945
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 2, 2011
- Last Update Date
- April 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Carew Street
Ste 2
Springfield, MA 01104-2146 - City
- Springfield
- State
- Massachusetts
- Zip
- 01104-2146
- Phone Number
- 413-794-9816
- Fax Number
- 413-794-4945
Provider Business Mailing Address Details
- Address
- 280 Chestnut St
2ND Floor
Springfield, MA 01199-1001 - City
- Springfield
- State
- MA
- Zip
- 01199-1001
- Phone Number
- 413-794-5700
License Information
- License Number
- 117748
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kerri A Bergendahl, MSW, LICSW?
The NPI number of Kerri A Bergendahl, MSW, LICSW is 1104110600. It was assigned on June 2, 2011 and is currently active in the NPPES registry.
What is the specialty of Kerri A Bergendahl, MSW, LICSW?
Kerri A Bergendahl, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 117748.
Where does Kerri A Bergendahl, MSW, LICSW practice?
The practice location is 300 Carew Street, Ste 2, Springfield, MA 01104-2146. The office can be reached at 413-794-9816 (phone) or 413-794-4945 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104110600 directly on the NPPES registry website.