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MRS. SUZANNE MICHELE BERGMANN LCSW
NPI 1447527601
Social Worker - Clinical in Stony Brook, NY

Active since November 16, 2011Opted out of Medicare · through Jan 5, 2028
2100 NESCONSET HWY # 1027, STONY BROOK, NY 11790(631) 600-3407 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, Aug 20, 2024 (2 updates tracked since 2024).

About Mrs. Suzanne Michele Bergmann Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUZANNE MICHELE BERGMANN LCSW (NPI 1447527601) is an individual clinical provider in Stony Brook, New York, licensed in New York (082913) and active in the NPI registry since November 2011. She has opted out of Medicare through January 5, 2028.

NPPES Registry Identity

NPI1447527601
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SUZANNE MICHELE BERGMANNCredential: LCSW
Location Address2100 NESCONSET HWY # 1027Stony Brook, NY 11790-3503
Mailing Address2100 Nesconset Hwy # 1067Stony Brook, NY 11790-3503 · (631) 600-3407
Phone(631) 600-3407
Sole ProprietorYes
Enumeration DateNovember 16, 2011
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1447527601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 082913✔ Licensed in ME · LC23140✔ Licensed in VA · 0904015217✔ Licensed in MA · LICSW1120580✔ Licensed in NJ · 44SC06082500✔ Licensed in FL · TPSW1585✔ Licensed in VT · 089.0135391TELE✔ Licensed in SC · TLS425CP✔ Licensed in WV · TH00946707✔ Licensed in DE · Q5-0000089
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 072486 (NY)
2100 NESCONSET HWY # 1027, Stony Brook, NY 11790
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Other Identifiers 10

Other44SC06082500NJ · Lcsw License Number
OtherQ5-0000089DE · Out-of-state Telehealth Provider
OtherTPSW1585FL · Out-of-state Telehealth Provider
Other0904015217VA · Lcsw License Number
Other082913NY · Lcsw License Number
Other089.0135391TELEVT · Out-of-state Telehealth Provider
OtherLC23140ME · Lcsw License Number
OtherTH00946707WV · Out-of-state Telehealth Provider
OtherTLS425CPSC · Out-of-state Telehealth Provider
OtherLICSW1120580MA · Licsw Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Suzanne Michele Bergmann Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 5, 2024 through January 5, 2028.

Opt-Out Effective DateJanuary 5, 2024
Opt-Out In Effect ThroughJanuary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Bergmann's NPI number?

The NPI number for Suzanne Bergmann is 1447527601. It was assigned to this individual provider in the NPPES registry on November 16, 2011.

Where is Suzanne Bergmann located?

Suzanne Bergmann practices at 2100 Nesconset Hwy # 1027, Stony Brook, NY 11790. The listed phone number is (631) 600-3407.

What is Suzanne Bergmann's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Suzanne Bergmann enrolled in Medicare?

No. Suzanne Bergmann has opted out of Medicare through January 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Suzanne Bergmann was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.