MS. THERESA BERGOLD LMSW
NPI 1831613868
Social Worker - Clinical in Lake Ronkonkoma, NY
About Ms. Theresa Bergold Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. THERESA BERGOLD LMSW (NPI 1831613868) is an individual clinical provider in Lake Ronkonkoma, New York, licensed in New York (096848) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
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
Ms. Theresa Bergold Lmsw 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11779 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE RONKONKOMA, NY 11779
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 Theresa Bergold's NPI number?
The NPI number for Theresa Bergold is 1831613868. It was assigned to this individual provider in the NPPES registry on August 1, 2017.
Where is Theresa Bergold located?
Theresa Bergold practices at 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 471-5666.
What is Theresa Bergold's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Theresa Bergold enrolled in Medicare?
Yes. Theresa Bergold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Theresa Bergold was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Theresa Bergold, LMSW · NPI 1831613868
Clinical provider in Lake Ronkonkoma, New York. Individual provider, active in the CMS NPPES registry since August 1, 2017.
## Identity
- **NPI:** 1831613868 (Entity type: Individual)
- **Enumerated:** August 1, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 096848 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 161 LAKE SHORE RD, Lake Ronkonkoma, NY 11779-3182
- **Phone:** (631) 471-5666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831613868) · Data from the CMS NPPES public registry.