Lindsay Ray Bergman, LISW-S, LCSW is a
Social Worker - Clinical based in Collins, Mississippi. Lindsay Ray Bergman is licensed to practice in Ohio (license number I1450832SUPV) and her current practice location is
190 Wilson Rd, Collins, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 408-9616.
NPI number for Lindsay Ray Bergman is 1710197173 and her current mailing address is 7239 Fernbank Ave, Cincinnati, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710197173.
Healthcare Provider's Profile
| Full Name | Lindsay Ray Bergman |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 190 Wilson Rd, Collins, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710197173
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 10/11/2022
Medical Identifiers
Medical identifiers for Lindsay Ray Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710197173 | NPI | - | NPPES |
| 0173042 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C6874 (Mississippi) | Secondary |
| 1041C0700X | Social Worker - Clinical | I1450832SUPV (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lindsay Ray Bergman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lindsay Ray Bergman, LISW-S, LCSW 7239 Fernbank Ave, Cincinnati, OH 45233-1011 Ph: (601) 408-9616 | Lindsay Ray Bergman, LISW-S, LCSW 190 Wilson Rd, Collins, MS 39428-6030 Ph: (601) 408-9616 |
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