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General NPI Number Information
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NPI Number | 1437879327
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Entity Type | Individual
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Provider Name | MEREDITH BERGMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 244 MADISON AVE # 1047
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City | NEW YORK
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State | NY
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Zip | 10016-2817
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Country | US
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Telephone | 855-387-4378
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Fax |
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Provider Business Mailing Address
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Address Line | 5204 FALMOUTH CT
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City | BETHESDA
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State | MD
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Zip | 20816-2900
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Country | US
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Telephone | 301-704-6268
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 101605
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License Number State | NY
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