| Katie Louise Bergin, LISW-S | |
|
1815 Belmont Ave, Youngstown, OH 44504-1106 | |
| (330) 740-9200 | |
| Not Available |
| Full Name | Katie Louise Bergin |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 1815 Belmont Ave, Youngstown, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790446698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2002444-SUPV (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | 0904015350 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care Llc | 3173955671 | 195 |
| Mercy Health Physicians Springfield Specialty Care Llc | 4284059981 | 132 |
| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 470 |
| Bon Secours Medical Group Richmond Specialty Care Llc | 8022440056 | 355 |
| Mercy Health Physicians Kentucky Specialty Care Llc | 1456777069 | 146 |
| Mercy Health Physicians Lorain Specialty Care Llc | 4688070055 | 137 |
| Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
| Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Louise Bergin, LISW-S 5559 Lakeview Rd, Cortland, OH 44410-9555 Ph: (724) 977-4989 | Katie Louise Bergin, LISW-S 1815 Belmont Ave, Youngstown, OH 44504-1106 Ph: (330) 740-9200 |
Marisa D Mook, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8440 Market St, Youngstown, OH 44512 Phone: 330-965-9999 Fax: 330-757-0000 | |
Monique Franke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 238 S Meridian Rd, Youngstown, OH 44509 Phone: 330-318-3436 | |
Adreanna Shonelle Mendenhall, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8440 Market St, Youngstown, OH 44512 Phone: 330-965-9999 Fax: 330-757-0000 | |
Desiree J Farragher, MSW, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2980 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-2310 Fax: 330-759-0018 | |
Kayla Mehle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 N Canfield Niles Rd, Youngstown, OH 44515 Phone: 330-642-8242 Fax: 330-642-8242 | |
William Theron Aley-byrne, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16 Colonial Dr, Youngstown, OH 44505 Phone: 234-232-7501 | |
Tracey Neal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80 E Midlothian Blvd, Youngstown, OH 44507 Phone: 330-234-5251 |