Bergmann, Suzanne Michele
Bergmann, Suzanne Michele is an sole proprietor health care provider with primary practice located at 169 Commack Rd # 1027 , Commack NY 11725-3442. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bergmann, Suzanne Michele can be contacted via phone (631) 600-3407.Contact Information
Primary practice address
169 Commack Rd # 1027
Commack NY 11725-3442
Phone: (631) 600-3407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC06082500 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 082913 | New York |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 072486 | New York |
Profile Details
| NPI number | 1447527601 |
|---|---|
| LBN Legal business name | Bergmann, Suzanne Michele |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2011 |
| Last updated | May 21st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447527601 | NPPES |
| New Jersey | Other | 44SC06082500 | LCSW LICENSE NUMBER |
| New Jersey | Other | 0904015217 | LCSW LICENSE NUMBER |
| New Jersey | Other | LC23140 | LCSW LICENSE NUMBER |
| New Jersey | Other | TH00946707 | LCSW LICENSE NUMBER |
| New Jersey | Other | 082913 | LCSW LICENSE NUMBER |
| New Jersey | Other | Q5-0000089 | LCSW LICENSE NUMBER |
| New Jersey | Other | TLS425CP | LCSW LICENSE NUMBER |
| New Jersey | Other | 089.0135391TELE | LCSW LICENSE NUMBER |
| New Jersey | Other | TPSW1585 | LCSW LICENSE NUMBER |
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