Bergen Psychotherapy & Community Outreach, LLC
NPI 1659541324ActiveOrganization· Social Worker, Clinical· Teaneck, NJ
Social Worker, Clinical in Teaneck, New Jersey, registered in NPPES in March 2008. The authorized official on file is Alida A. Dominianni, LCSW, Director.
Overview
| NPI | 1659541324 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2008 |
| Last updated in NPPES | Mar 9, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 44SC05249200 | NJ |
| Social Worker, Clinical | 1041C0700X | 44SC05322900 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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