Ms Mary Bergen, | |
171 Ashley Ave, Charleston, SC 29425-5000 | |
(843) 792-1414 | |
Not Available |
Full Name | Ms Mary Bergen |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 171 Ashley Ave, Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942605985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CO.09923872 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | 10787 (South Carolina) | Primary |
Entity Name | Arapahoe Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437763968 PECOS PAC ID: 7315850708 Enrollment ID: O20031111000581 |
Mailing Address | Practice Location Address |
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Ms Mary Bergen, Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | Ms Mary Bergen, 171 Ashley Ave, Charleston, SC 29425-5000 Ph: (843) 792-1414 |
Andrea Claire D'andrea, MSW LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Carriage Ln, Suite 203-b, Charleston, SC 29407 Phone: 843-810-6747 | |
Renea Brown Bligen, LISW-CP/S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Miss Raven Neal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-789-7311 | |
Catherine Quast Nelson, PHD LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3129 W Montague Ave, Charleston, SC 29418 Phone: 843-577-5011 | |
Mr. Joshua Martin Hillie, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Riley Alexandra Nikolychik, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-0224 | |
Mrs. Freida Eugenia Mizzell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-789-7260 Fax: 843-805-5786 |