Active NPIIndividual provider

Kristen I Bergeron, LCSW

Social Worker, Clinical in Portland, Maine

NPI Number1073820767
Practice location
48 Gilman St, Portland, ME 04102-3004
Fax
—
Last updated
November 26, 2014

Kristen I Bergeron is a Social Worker, Clinical based in Portland, ME. Kristen I Bergeron practices in Portland, ME and has the professional credentials of LCSW. The NPI Number for Kristen I Bergeron is 1073820767 and holds a License No. LC12191 (ME). The current practice location address for Kristen I Bergeron is 48 Gilman St, Portland, ME 04102-3004 and can be reached out via phone at 207-662-2759.

Provider Profile Details

NPI Number
1073820767
Provider Name
Kristen I Bergeron
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
48 Gilman St, Portland, ME 04102-3004
Phone Number
207-662-2759
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2010
Last Update Date
November 26, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 Gilman St
Portland, ME 04102-3004
State
Maine
Zip
04102-3004
Phone Number
207-662-2759
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
City
Portland
State
ME
Zip
04102-3134
Phone Number
207-662-2759

License Information

License Number
LC12191
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Portland, ME

View all Social Worker, Clinical providers in Portland →

Frequently Asked Questions

What is the NPI number of Kristen I Bergeron, LCSW?

The NPI number of Kristen I Bergeron, LCSW is 1073820767. It was assigned on September 2, 2010 and is currently active in the NPPES registry.

What is the specialty of Kristen I Bergeron, LCSW?

Kristen I Bergeron, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC12191.

Where does Kristen I Bergeron, LCSW practice?

The practice location is 48 Gilman St, Portland, ME 04102-3004. The office can be reached at 207-662-2759 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073820767 directly on the NPPES registry website.

Browse related providers