MISS KATHERINE BERGEN TEIXEIRA (NPI# 1053669044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053669044 |
| Entity Type | Individual |
| Full Name | MISS KATHERINE BERGEN TEIXEIRA |
| Credential | LCSW |
| Practice Address |
1000 Herrontown Rd 2nd Story Building Princeton NJ 08540-7716 |
| Practice Telephone | 6096134753 |
| Practice Fax Number | 6094304898 |
| Mailing Telephone | 6096134753 |
| Mailing Fax Number | 6094304898 |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05651200 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1000 HERRONTOWN RD 2ND STORY BUILDING |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-7716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588740567 | Martin Weinapple | Psychiatry & Neurology | 1000 Herrontown Rd, Princeton, NJ 08540-7716 | 2006-10-31 |
| 1801401898 | Sonali M. Patel | Physical Therapist | 1000 Herrontown Rd, Clock Bldg, Fl 2, Princeton, NJ 08540-7716 | 2020-09-15 |
| 1487214755 | Stephanie Dicandia | Counselor | 1000 Herrontown Rd, Princeton, NJ 08540-7716 | 2019-06-18 |
| 1093280950 | The Road Worth Traveling | Community/Behavioral Health | 1000 Herrontown Rd, Princeton, NJ 08540-7716 | 2018-10-08 |
| 1851795678 | Monisha Motiwala | Psychologist | 1000 Herrontown Rd, 1 Story Building, Princeton, NJ 08540-7716 | 2014-10-22 |
| 1063783769 | Julia Kate Temple | Psychiatry & Neurology | 1000 Herrontown Rd, Princeton, NJ 08540-7716 | 2012-01-26 |
| 1578855177 | Princeton Healthcare Affiliated Physicians PC | Social Worker | 1000 Herrontown Rd, Clock Building, Princeton, NJ 08540-7716 | 2011-05-15 |
| 1083906846 | Valerie A Salico | Counselor | 1000 Herrontown Rd, Clock Building, Princeton, NJ 08540-7716 | 2011-05-11 |
| 1760711030 | Barbara A. Majoros | Social Worker | 1000 Herrontown Rd, Princeton, NJ 08540-7716 | 2009-12-16 |
| 1700112505 | Senior and Adult Psychiatric Care, P.C. | Psychiatry & Neurology | 1000 Herrontown Rd, Princeton, NJ 08540-7716 | 2009-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327534 | Emily Rudofsky | Social Worker | 20 Nassau St Ste 413, Princeton, NJ 08542-4505 | 2019-10-14 |
| 1104482934 | Sara N Scruggs | Social Worker | 28 E Marion St Ste 5, Princeton, IL 61356-2098 | 2019-05-16 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1306409933 | Susan Ernst | Social Worker | 1212 S Church St, Princeton, IL 61356-2426 | 2019-04-18 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1417425075 | Lisa Canzano | Social Worker | 20 Nassau St Ste 243, Princeton, NJ 08542-4547 | 2018-11-12 |
| 1518440692 | Carrie Phillips | Social Worker | 13 Gregory Hill Rd, Princeton, MA 01541-1101 | 2018-09-13 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1720578768 | Tiffany Chivlare | Social Worker | 320 S 5th Ave, Princeton, IN 47670-3519 | 2018-05-15 |
| 1033606942 | Tlp Consulting Group, LLC | Social Worker | 245 Nassau St # C, Princeton, NJ 08540-4600 | 2018-04-16 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.