Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert Bergen, LCSW

Individual provider Clinical Social Worker · NPI 1740436393

Robert Bergen, LCSW is a Clinical Social Worker in Forest Hills, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11241 Queens Blvd Ste 203
Forest Hills, NY 11375-5564
Phone: (917) 769-9636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R025838 (NY)

Record details

NPI number1740436393
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 14, 2008
Last updated in NPPESAugust 14, 2008

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