Bergmann, Suzanne Michele
Bergmann, Suzanne Michele is an sole proprietor health care provider with primary practice located at 2100 Nesconset Hwy # 1027 , Stony Brook NY 11790-3503. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bergmann, Suzanne Michele can be contacted via phone (631) 600-3407.Contact Information
Primary practice address
2100 Nesconset Hwy # 1027
Stony Brook NY 11790-3503
Phone: (631) 600-3407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 072486 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC23140 | Maine |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904015217 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LICSW1120580 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC06082500 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | TPSW1585 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089.0135391TELE | Vermont |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | TLS425CP | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | TH00946707 | West Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Q5-0000089 | Delaware |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 082913 | New York |
Profile Details
| NPI number | 1447527601 |
|---|---|
| LBN Legal business name | Bergmann, Suzanne Michele |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2011 |
| Last updated | Aug 15th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447527601 | NPPES |
| New Jersey | Other | 44SC06082500 | LCSW LICENSE NUMBER |
| New Jersey | Other | Q5-0000089 | LCSW LICENSE NUMBER |
| New Jersey | Other | TPSW1585 | LCSW LICENSE NUMBER |
| New Jersey | Other | 0904015217 | LCSW LICENSE NUMBER |
| New Jersey | Other | 082913 | LCSW LICENSE NUMBER |
| New Jersey | Other | 089.0135391TELE | LCSW LICENSE NUMBER |
| New Jersey | Other | LC23140 | LCSW LICENSE NUMBER |
| New Jersey | Other | TH00946707 | LCSW LICENSE NUMBER |
| New Jersey | Other | TLS425CP | LCSW LICENSE NUMBER |
| New Jersey | Other | LICSW1120580 | LCSW LICENSE NUMBER |
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