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Ms. Theresa Bergold, LMSW
Clinical Social Worker in Lake Ronkonkoma, New York
NPI 1831613868

Theresa Bergold is a Clinical Social Worker based in Bethpage, NY and is specialized in Clinical. Theresa Bergold practices in Lake Ronkonkoma, NY and has the professional credentials of LMSW. The NPI Number for Theresa Bergold is 1831613868 and holds a License No. (New York).

The current practice location address for Theresa Bergold is 161 Lake Shore Rd, Lake Ronkonkoma, NY and can be reached out via phone at 631-471-5666.

Location: 161 Lake Shore Rd, Lake Ronkonkoma, NY, 11714-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831613868
Provider Name
Theresa Bergold
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
161 Lake Shore Rd, Lake Ronkonkoma, NY, 11714-3000
Phone Number
631-471-5666
Fax Number
Provider Enumeration Date
08/01/2017
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
161 Lake Shore Rd
City
Lake Ronkonkoma
State
New York
Zip
11779-3182
Phone Number
631-471-5666
Fax Number
person
Provider Business Mailing Address Details
Address
161 Lake Shore Rd
City
Lake Ronkonkoma
State
New York
Zip
11779-3182
Phone Number
631-471-5666
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
096848 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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