Provider Type Icon

MRS. LISA R. BERGSTRAESSER LCSW LADC NPI 1588935878


NPI Information

NPI: 1588935878
Provider Name: MRS. LISA R. BERGSTRAESSER, LCSW, LADC
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Organization: MINDPATH CARE CENTERS NORTH CAROLINA PLLC

PECOS Registration: Yes

Address:
152 DEER HILL AVE
SUITE 209
DANBURY, CT
ZIP 06810
Phone: (203) 417-7367
Get Directions

MRS. Lisa R. Bergstraesser, LCSW, LADC is a clinical social worker in Danbury, CT with 34 years of experience. The provider is 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. MRS. Lisa R. Bergstraesser, LCSW, LADC NPI is 1588935878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

152 DEER HILL AVE
SUITE 209
DANBURY, CT
ZIP 06810-791
Phone: (203) 417-7367

The NPI 1588935878 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/19/2012 and was last updated on 5/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)000440CONNECTICUTNo
21041C0700XSocial WorkerClinical003279CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004123840MEDICAIDCONNECTICUT
2004257516MEDICAIDCONNECTICUT
3008031626MEDICAIDCONNECTICUT
4008017939MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.