LARA M BERGSTEDT LCSW
NPI 1811125974
Social Worker - Clinical in Watseka, IL

Q: What is Lara Bergstedt's NPI number?

The NPI number for Lara Bergstedt is 1811125974. It was assigned to this individual provider in the NPPES registry on June 29, 2009. The provider is also known as Lara M Campbell Lcsw.

Q: What is Lara Bergstedt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lara Bergstedt was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since June 29, 2009PECOS EnrolledAccepts Medicare Assignment

323 W MULBERRY ST, WATSEKA, IL 60970(815) 432-5241 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2021, Apr 12, 2020, Feb 6, 2020 (3 updates tracked since 2020).

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About Lara M Bergstedt Lcsw NPPES

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

LARA M BERGSTEDT LCSW (NPI 1811125974) is an individual clinical provider in Watseka, Illinois, licensed in Illinois (149.013607) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bourbonnais, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2007).

NPPES Registry Identity

NPI1811125974

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLARA M BERGSTEDTCredential: LCSW

Location Address323 W MULBERRY STWatseka, IL 60970-1568

Mailing Address3446 191st StLansing, IL 60438-3848 · (708) 837-8377

Phone(815) 432-5241

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2007

Enumeration DateJune 29, 2009

Last NPPES UpdateApril 22, 20213 updates tracked since enumeration

NPPES CertifiedApril 22, 2021

✔ NPI 1811125974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in IL · 149.013607✔ Licensed in IN · 34008657A✔ Licensed in TN · LSW0000006090

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.

323 W MULBERRY ST, Watseka, IL 60970

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Other Names 1

Former Name (1)Lara M Campbell Lcsw

Secondary Practice Location 1

Location 1310 N Convent St Ste 2Bourbonnais, IL 60914-2175 · Phone (815) 552-0226 · Fax (815) 205-5376

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lara M Bergstedt Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911219753

PECOS Enrollment IDI20200218001615

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 60970 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 $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 20

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

MARGARET ULLRICH

Social Worker (Clinical)