Olivia Bergeron is a Clinical in Brooklyn, New York. Olivia Bergeron practices all healthcare services and medical treatments related to Clinical. The NPI Number for Olivia Bergeron is 1932231974. The last update date is 2023-01-11.
Olivia Bergeron's current location address is 451 80th St, Brooklyn, New York. You can contact this provider via phone number 9177477017. The mailing address for Olivia Bergeron is 451 80th St, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Olivia Bergeron |
|---|---|
| Address | 451 80th St, Brooklyn, New York |
| Phone Number | 9177477017 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1932231974 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2023-01-11 |
Provider Mailing Address Detail
| Address | 451 80th St |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112093902 |
| Phone Number | 9177477017 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 78058 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44SC06094700 | NJ | NJ LCSW LICENSE | |
| TPSW1023 | FL | FLORIDA LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Olivia Bergeron by the Centers for Medicare & Medicaid Services (CMS)?
The Olivia Bergeron has been assigned the NPI (National Provider Identifier) 1932231974. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Olivia Bergeron is physically located?
The Olivia Bergeron is physically situated at the following address: 451 80Th St, Brooklyn, NY, 112093902.
What is Olivia Bergeron's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Olivia Bergeron's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1932231974 assigned to Olivia Bergeron?
The Olivia Bergeron was issued its 1932231974 on 2007-03-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Olivia Bergeron last refreshed?
The information related to the Olivia Bergeron, including its address, specialty, and other relevant details, was last updated on 2023-01-11.