Provider Demographics
NPI:1063174795
Name:CHAND-BERGFELD, RITIKA (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:RITIKA
Middle Name:
Last Name:CHAND-BERGFELD
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 W LOCKWOOD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2945
Mailing Address - Country:US
Mailing Address - Phone:314-518-6165
Mailing Address - Fax:
Practice Address - Street 1:9200 WATSON RD STE G101
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-1528
Practice Address - Country:US
Practice Address - Phone:314-544-3800
Practice Address - Fax:314-843-0552
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
MO20200337061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator