Provider Demographics
NPI:1245407162
Name:BERGACS, KATHARINE MARY (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:MARY
Last Name:BERGACS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 PARK AVE STE E114
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1176
Mailing Address - Country:US
Mailing Address - Phone:908-751-1208
Mailing Address - Fax:908-824-2369
Practice Address - Street 1:84 PARK AVE STE E114
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1176
Practice Address - Country:US
Practice Address - Phone:908-751-1208
Practice Address - Fax:908-824-2369
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054705001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical