Lara M. Bergstedt, LCSW
NPI 1811125974ActiveIndividual· Social Worker, Clinical· Watseka, IL
Social Worker, Clinical (LCSW) in Watseka, Illinois, trained at University of Chicago, Pritzker School of Medicine (class of 2007). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1811125974 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jun 29, 2009 |
| Last updated in NPPES | Apr 22, 2021 |
| Certified by provider | Apr 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149.013607 | IL |
| Social Worker, Clinical | 1041C0700X | LSW0000006090 | TN |
| Social Worker, Clinical | 1041C0700X | 34008657A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IL) |
|---|
Education and affiliations
| Medical school | University of Chicago, Pritzker School of Medicine |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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All 16 clinical social workers in Watseka · All clinical social workers in Illinois