Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Theresa Bergold, LMSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831613868

MS. Theresa Bergold, LMSW is a Clinical Social Worker in Lake Ronkonkoma, New York. Qualified in 2013, 13 years ago. Practices with Central Nassau Guidance and Counseling Services, Inc, a 32-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

See every abbreviation used in this directory →

Practice location Address checks out

161 Lake Shore Rd
Lake Ronkonkoma, NY 11779-3182
Phone: (631) 471-5666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 096848 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1831613868
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Central Nassau Guidance And Counseling Services, Inc. — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services