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THERESA BERGOLD, LMSW
LMSW
Clinical Social Worker
NPI: 1831613868IndividualAccepts Medicare
Specialties, Licenses & Credentials
Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
096848(NY)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2013
Contact & Hours
- Address
- 161 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779 - Phone
- (631) 471-5666
Quick Facts
- NPI
- 1831613868
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 13
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