Provider Type Icon

MS. JUDITH BERGSON MSW NPI 1821146317


NPI Information

NPI: 1821146317
Provider Name: MS. JUDITH BERGSON, MSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
30 PRESTON RD
SOMERVILLE, MA
ZIP 02143
Phone: (617) 628-0041
Get Directions

MS. Judith Bergson, MSW is a clinical social worker in Somerville, MA. 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. MS. Judith Bergson, MSW NPI is 1821146317. 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:

30 PRESTON RD
SOMERVILLE, MA
ZIP 02143-715
Phone: (617) 628-0041
Fax: (617) 623-0112

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/9/2007.


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
11041C0700XSocial WorkerClinical104612MASSACHUSETTSYes

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
1P05557MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSCLINICAL SOCIAL WORKER
21012000OTHERMASSACHUSETTSBEACON
31892631MEDICAIDMASSACHUSETTS
41012000OTHERMASSACHUSETTSFALLON COMMUNITY HEALTH P
5108225OTHERMASSACHUSETTSVALUE OPTIONS
6793610OTHERMASSACHUSETTSTUFTS

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.