Mr. Stu E Bergman, CSW
Mr. Stu E Bergman, CSW is a Clinical Social Worker in Ithaca, New York. Qualified in 1980, 46 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 46
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
55 Bush LnIthaca, NY 14850-1052
Phone: (607) 257-0906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence R024041-1 (NY) |
|---|
Record details
| NPI number | 1962585810 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSW |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 55 Bush Ln, Ithaca, NY 14850-1052 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1980 (46 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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