Active NPIIndividual provider

Patricia S Bergstrom, LCSW

Social Worker, Clinical in Blue Hill, Maine

NPI Number1477795292
Practice location
57 Water Street, Blue Hill, ME 04614
Fax
207-374-3991
Last updated
January 20, 2021

Patricia S. Bergstrom is a Social Worker, Clinical based in Blue Hill, ME. Patricia S. Bergstrom practices in Blue Hill, ME and has the professional credentials of LCSW. The NPI Number for Patricia S. Bergstrom is 1477795292 and holds a License No. LC1463 (ME). The current practice location address for Patricia S. Bergstrom is 57 Water Street, Blue Hill, ME 04614 and can be reached out via phone at 207-374-2311 and via fax at 207-374-3991.

Provider Profile Details

NPI Number
1477795292
Provider Name
Patricia S. Bergstrom
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
57 Water Street, Blue Hill, ME 04614
Phone Number
207-374-2311
Fax Number
207-374-3991
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Patricia S. Herklotz (Former Name)
Provider Enumeration Date
March 25, 2009
Last Update Date
January 20, 2021
Certification Date
January 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Water Street
Blue Hill, ME 04614
State
Maine
Zip
04614
Phone Number
207-374-2311
Fax Number
207-374-3991
Blue Hill, ME 04614Get directions →

Provider Business Mailing Address Details

Address
57 Water Street
Blue Hill, ME 04614
City
Blue Hill
State
ME
Zip
04614
Phone Number
207-374-2311
Fax Number
207-374-3991

License Information

License Number (1)
LC1463
License State (1)
ME
License Number (2)
LC5701
License State (2)
ME
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Patricia S Bergstrom, LCSW?

The NPI number of Patricia S Bergstrom, LCSW is 1477795292. It was assigned on March 25, 2009 and is currently active in the NPPES registry.

What is the specialty of Patricia S Bergstrom, LCSW?

Patricia S Bergstrom, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC1463.

Where does Patricia S Bergstrom, LCSW practice?

The practice location is 57 Water Street, Blue Hill, ME 04614. The office can be reached at 207-374-2311 (phone) or 207-374-3991 (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 1477795292 directly on the NPPES registry website.

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