MR. ROBERT BERGMAN (NPI# 1639502636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639502636 |
| Entity Type | Individual |
| Full Name | MR. ROBERT BERGMAN |
| Credential | LLMSW |
| Practice Address |
3353 Lousma Dr Se Wyoming MI 49548-2251 |
| Mailing Address |
1645 Jennette Ave Nw Grand Rapids MI 49504-2840 |
| Practice Telephone | 6162416258 |
| Mailing Telephone | 2316706431 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
104100000X | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871835728 | Robert Loring Bergman | Veterinarian | 4099 Campus Ridge Rd, Matthews, NC 28105-5009 | 2013-03-19 |
| 1043407422 | Robert T Bergman | Dentist | 400 Mobil Ave Ste C1, Camarillo, CA 93010-6377 | 2007-09-28 |
| 1497811301 | Robert Todd Bergman | Dentist | 2350 Northpark, Columbus, IN 47203 | 2006-12-28 |
| 1497791685 | Robert L Bergman | Psychiatry & Neurology | 2271 Ne 51st St, Seattle, WA 98105-5713 | 2006-06-22 |
| 1437146362 | Robert E. Bergman | Anesthesiology | 2550 Windy Hill Rd Se, Suite 302, Marietta, GA 30067-8665 | 2005-10-05 |
| Street Address |
3353 LOUSMA DR SE |
| City | WYOMING |
| State | MI |
| Zip Code | 49548-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255665352 | Lindsey Diane Taylor-durfee | Registered Nurse | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2009-09-23 |
| 1750935599 | Rachel Lantigua | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-07-30 |
| 1144886920 | Jasmin Gaytan | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-05-16 |
| 1992368880 | Karter Huber | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-04-17 |
| 1073073839 | Jeannette High | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-03-20 |
| 1487113346 | Shawna Johnson | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-03-19 |
| 1447724521 | Yagin An | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-01-11 |
| 1376013029 | Kaymi Rachelle Hargrove | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2018-11-26 |
| 1851869739 | Inez Rubio Escareno IIi | Case Manager/Care Coordinator | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2018-11-08 |
| 1720554181 | Megan Nicole Staat | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| 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 |
|---|---|---|---|---|
| 1467050781 | Erin Jean Vanveen | Social Worker | 2435 Woodward Ave Sw, Wyoming, MI 49509-2078 | 2020-10-09 |
| 1144833468 | Jacquelyn Aurora Thomas | Social Worker | 4433 Byron Center Ave Sw Ste C, Wyoming, MI 49519-4844 | 2020-08-26 |
| 1851925028 | Sarah Lee Milanowski | Social Worker | 3112 Highgate Ave Sw, Wyoming, MI 49509-2980 | 2020-02-26 |
| 1437657228 | Jessica Higgins | Social Worker | 5163 Harbor House Ln Apt 101, Wyoming, MI 49418-7306 | 2018-01-26 |
| 1770011785 | A Solution B, LLC | Social Worker | 1945 28th St Sw Frnt 1-b, Wyoming, MI 49519-7024 | 2017-06-03 |
| 1184168841 | Impact Counseling | Social Worker | 100 Celia St Sw, Wyoming, MI 49548-1121 | 2016-12-14 |
| 1275988925 | Intsar Abdulahe | Social Worker | 1551 Charles Russell, Wyoming, MI 49509 | 2016-05-02 |
| 1831589340 | Jessica R Furrow | Social Worker | 5281 Clyde Park Ave Sw Ste 2, Wyoming, MI 49509-9506 | 2015-02-04 |
| 1811301252 | Cynthia Irene Johnson | Social Worker | 7015 258th St, Wyoming, MN 55092-8305 | 2014-06-13 |
| 1770996043 | Cheryl Ann Corcoran | Social Worker | 2762 Pine Dunes Ct Sw, Wyoming, MI 49418-9305 | 2014-06-04 |
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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.