Tara Bergeron, LMSW
Social Worker, Clinical in Willimantic, Connecticut
1548870074- Practice location
- 40 Mansfield Ave, Willimantic, CT 06226-2018
- Phone
- 860-450-7471
- Fax
- —
- Last updated
- July 14, 2023
Tara Bergeron is a Social Worker, Clinical based in Willimantic, CT. Tara Bergeron practices in Willimantic, CT and has the professional credentials of LMSW. The NPI Number for Tara Bergeron is 1548870074 and holds a License No. 4692 (CT). The current practice location address for Tara Bergeron is 40 Mansfield Ave, Willimantic, CT 06226-2018 and can be reached out via phone at 860-450-7471.
Provider Profile Details
- NPI Number
- 1548870074
- Provider Name
- Tara Bergeron
- Credential
- LMSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 Mansfield Ave, Willimantic, CT 06226-2018
- Phone Number
- 860-450-7471
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 10, 2020
- Last Update Date
- July 14, 2023
- Certification Date
- July 14, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Mansfield Ave
Willimantic, CT 06226-2018 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-2018
- Phone Number
- 860-450-7471
Provider Business Mailing Address Details
- Address
- 40 Mansfield Ave
Willimantic, CT 06226-2018 - City
- Willimantic
- State
- CT
- Zip
- 06226-2018
- Phone Number
- 860-450-7471
License Information
- License Number (1)
- 4692
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 13161
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Willimantic, CT
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- Jessica BaineSocial Worker, Clinical · NPI 1164890232
- Kassandrah D Banks, LMSWSocial Worker, Clinical · NPI 1659149250
Frequently Asked Questions
What is the NPI number of Tara Bergeron, LMSW?
The NPI number of Tara Bergeron, LMSW is 1548870074. It was assigned on August 10, 2020 and is currently active in the NPPES registry.
What is the specialty of Tara Bergeron, LMSW?
Tara Bergeron, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 4692.
Where does Tara Bergeron, LMSW practice?
The practice location is 40 Mansfield Ave, Willimantic, CT 06226-2018. The office can be reached at 860-450-7471 (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 1548870074 directly on the NPPES registry website.