National Provider Identifier
Patricia Ann Bergman, LCSW
Patricia Ann Bergman, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 257-1555.
Profile Overview
- NPI
- 1578886735
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 02, 2010
- Last Updated
- March 02, 2010
Practice Location
- 555 Warren RD
- Ithaca, NY 14850-1862
Phone: (607) 257-1555
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1578886735
- Entity Type
- Individual
- Last Name
- Bergman
- First Name
- Patricia
- Middle Name
- Ann
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 555 Warren RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1862
- Mailing Country
- US
- Mailing Phone
- (607) 257-1555
- Mailing Fax
- (607) 257-2510
- Practice Street Address
- 555 Warren RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1862
- Practice Country
- US
- Practice Phone
- (607) 257-1555
- Practice Fax
- (607) 257-2510
- Enumeration Date
- March 02, 2010
- Last Updated
- March 02, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)