PATRICIA S. BERGSTROM LCSW
NPI 1477795292
Social Worker - Clinical in Blue Hill, ME

Q: What is Patricia Bergstrom's NPI number?

The NPI number for Patricia Bergstrom is 1477795292. It was assigned to this individual provider in the NPPES registry on March 25, 2009. The provider is also known as Patricia S. Herklotz.

Q: What is Patricia Bergstrom's specialty?

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

Active since March 25, 2009PECOS Enrolled

96.65/100

CMS Quality Rating

57 WATER STREET, BLUE HILL, ME 04614(207) 374-2311(207) 374-3991 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2021, Dec 30, 2015 (2 updates tracked since 2015).

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About Patricia S. Bergstrom Lcsw NPPES

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

PATRICIA S. BERGSTROM LCSW (NPI 1477795292) is an individual clinical provider in Blue Hill, Maine, licensed in Maine (LC5701) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477795292

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NamePATRICIA S. BERGSTROMCredential: LCSW

Location Address57 WATER STREETBlue Hill, ME 04614

Mailing Address57 Water StreetBlue Hill, ME 04614 · (207) 374-2311 · Fax (207) 374-3991

Phone(207) 374-2311

Fax(207) 374-3991

Sole ProprietorNo

Enumeration DateMarch 25, 2009

Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2021

✔ NPI 1477795292 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

License✔ Licensed in ME · LC5701

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LC1463 (ME)

57 WATER STREET, Blue Hill, ME 04614

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Other Names 1

Former Name (1)Patricia S. Herklotz

Other Identifiers 1

Medicaid1477795292ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia S. Bergstrom Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.26 – $162.77

Typical copayment $0.00 (range $13.31 – $40.69)

Most-billed visit code NA

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.91

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE BLUE HILL MEMORIAL HOSPITAL

General Acute Care Hospital (Critical Access)