MS. Theresa Bergold, LMSW
MS. Theresa Bergold, LMSW is a Clinical Social Worker in Lake Ronkonkoma, New York. Qualified in 2013, 13 years ago. Practices with Central Nassau Guidance and Counseling Services, Inc, a 32-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.
- Years since qualifying
- 13
- Licensed in
- NY
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- LMSW — Licensed Master Social Worker
- A master's-level social worker, usually practising under supervision.
Practice location Address checks out
161 Lake Shore RdLake Ronkonkoma, NY 11779-3182
Phone: (631) 471-5666
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 096848 (NY) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1831613868 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LMSW |
| Sole proprietor | No |
| NPI enumerated | August 1, 2017 |
| Last updated in NPPES | August 2, 2024 |
| Certification date | August 2, 2024 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Central Nassau Guidance And Counseling Services, Inc. — 32 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Medicare patients and services, 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 108 |
| Average patient age | 51 |
Colleagues at Central Nassau Guidance and Counseling Services, Inc
- MS. Meena Azizi, MD Student in an Organized Health Care Education/Training Program · Hicksville, NY
- Mrs. Jeanette Beth Beyer, NP Registered Nurse · Glen Oaks, NY
- Maria Bookas Mental Health Counselor · Hicksville, NY
- Gina Cornwall, NP Psychiatric/Mental Health Nurse Practitioner · Amityville, NY
- Mrs. Jennifer Desetto, PMHNP Psychiatric/Mental Health Nurse Practitioner · Oceanside, NY
- Dr. Asma Aslam Ejaz, MD Psychiatry Physician · Hicksville, NY
- MS. Jeannine Carol Hand, NPP Prescribing (Medical) Psychologist · Long Beach, NY
- Berna Kayas Mental Health Counselor · East Moriches, NY
- Dr. Howard Kirschen, MD Child & Adolescent Psychiatry Physician · Woodbury, NY
- David Marder Social Worker · Uniondale, NY
- Brianna Oliveri Social Worker · Hicksville, NY
- Nicole Vincenzi, MHC Student in an Organized Health Care Education/Training Program · Hicksville, NY