National Provider Identifier
Stu E Bergman, CSW
Stu E Bergman, CSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 257-0906.
Profile Overview
- NPI
- 1962585810
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 23, 2006
- Last Updated
- July 08, 2007
Practice Location
- 55 Bush Ln
- Ithaca, NY 14850-1052
Phone: (607) 257-0906
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1962585810
- Entity Type
- Individual
- Last Name
- Bergman
- First Name
- Stu
- Middle Name
- E
- Name Prefix
- Mr.
- Credential
- CSW
- Mailing Street Address
- 55 Bush Ln
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1052
- Mailing Country
- US
- Mailing Phone
- (607) 257-0906
- Practice Street Address
- 55 Bush Ln
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1052
- Practice Country
- US
- Practice Phone
- (607) 257-0906
- Enumeration Date
- October 23, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)