Active NPIIndividual provider

Rebecca A Bergeron, LICSW

Social Worker in Providence, Rhode Island

NPI Number1518270313
Practice location
830 Chalkstone Ave, Providence, RI 02908-4734
Fax
—
Last updated
January 15, 2025

Rebecca Ann Bergeron is a Social Worker based in Providence, RI. Rebecca Ann Bergeron practices in Providence, RI and has the professional credentials of LICSW. The NPI Number for Rebecca Ann Bergeron is 1518270313 and holds a License No. 128142 (MA). The current practice location address for Rebecca Ann Bergeron is 830 Chalkstone Ave, Providence, RI 02908-4734 and can be reached out via phone at 401-273-7100.

Provider Profile Details

NPI Number
1518270313
Provider Name
Rebecca Ann Bergeron
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
830 Chalkstone Ave, Providence, RI 02908-4734
Phone Number
401-273-7100
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2010
Last Update Date
January 15, 2025
Certification Date
January 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 Chalkstone Ave
Providence, RI 02908-4734
Zip
02908-4734
Phone Number
401-273-7100
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
830 Chalkstone Ave
Providence, RI 02908-4734
City
Providence
State
RI
Zip
02908-4734
Phone Number
401-273-7100

License Information

License Number
128142
License State
MA
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Rebecca A Bergeron, LICSW?

The NPI number of Rebecca A Bergeron, LICSW is 1518270313. It was assigned on July 21, 2010 and is currently active in the NPPES registry.

What is the specialty of Rebecca A Bergeron, LICSW?

Rebecca A Bergeron, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 128142.

Where does Rebecca A Bergeron, LICSW practice?

The practice location is 830 Chalkstone Ave, Providence, RI 02908-4734. The office can be reached at 401-273-7100 (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 1518270313 directly on the NPPES registry website.

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