KERRI A BERGENDAHL (NPI# 1104110600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104110600 |
| Entity Type | Individual |
| Full Name | KERRI A BERGENDAHL |
| Credential | M.S.W., L.I.C.S.W. |
| Practice Address |
300 Carew Street Ste 2 Springfield MA 01104-2146 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137949816 |
| Practice Fax Number | 4137944945 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
117748 | MA | Behavioral Health & Social Service Providers |
| Street Address |
300 CAREW STREET STE 2 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952344384 | Stephen C. Boos | Pediatrics | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2006-06-14 |
| 1215329701 | Quinn Makia Gathercole | Counselor | 300 Carew Street, Springfield, MA 01104-4945 | 2015-02-20 |
| 1467709774 | Elizabeth R Pinard | Social Worker | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2012-08-07 |
| 1356644223 | Yashira Oropeza-diaz | Counselor | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2010-12-14 |
| 1770891954 | Jennifer Carolina Macgregor | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104 | 2010-09-21 |
| 1821324302 | Deidre B Hussey | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2009-10-19 |
| 1164664157 | Autumn Lynn Porubsky | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2009-04-06 |
| 1245484062 | Jennifer Castonguay | Counselor | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2008-11-06 |
| 1972757821 | Jessica A Wozniak | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2008-11-05 |
| 1104971910 | Noreen Mcgirr | Social Worker | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on KERRI A BERGENDAHL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.