Jana Bergfeld Lisw Llc | |
1071 Fishinger Rd Ste 211 Columbus OH 43221-2301 | |
(708) 373-5959 | |
Not Available |
Full Name | Jana Bergfeld Lisw Llc |
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Speciality | Clinic/Center |
Location | 1071 Fishinger Rd Ste 211, Columbus, Ohio |
Authorized Official Name and Position | Jana Bergfeld (PRESIDENT/LIC. CLINICAL SOCIAL WORK) |
Authorized Official Contact | 7083735959 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jana Bergfeld Lisw Llc 2693 Berwyn Rd Columbus OH 43221-3207 Ph: (708) 373-5959 | Jana Bergfeld Lisw Llc 1071 Fishinger Rd Ste 211 Columbus OH 43221-2301 Ph: (708) 373-5959 |
NPI Number | 1255997599 |
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Provider Enumeration Date | 05/13/2019 |
Last Update Date | 05/13/2019 |
Medicare PECOS PAC ID | 3476950494 |
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Medicare Enrollment ID | O20210917001412 |
Identifier | Type | State | Issuer |
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1255997599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Jana Lee Bergfeld |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366573610 PECOS PAC ID: 8921405945 Enrollment ID: I20210917001384 |
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