Active NPIIndividual provider

Keri A Bergman, LICSW

Social Worker, Clinical in Haverhill, Massachusetts

NPI Number1558854893
Practice location
76 Summer St, Haverhill, MA 01830
Fax
978-373-8223
Last updated
January 23, 2019

Keri A Bergman is a Social Worker, Clinical based in Haverhill, MA. Keri A Bergman practices in Haverhill, MA and has the professional credentials of LICSW. The NPI Number for Keri A Bergman is 1558854893 and holds a License No. 219484 (MA). The current practice location address for Keri A Bergman is 76 Summer St, Haverhill, MA 01830 and can be reached out via phone at 978-556-6230 and via fax at 978-373-8223.

Provider Profile Details

NPI Number
1558854893
Provider Name
Keri A Bergman
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
76 Summer St, Haverhill, MA 01830
Phone Number
978-556-6230
Fax Number
978-373-8223
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2018
Last Update Date
January 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 Summer St
Haverhill, MA 01830
Zip
01830
Phone Number
978-556-6230
Fax Number
978-373-8223
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
76 Summer St
Haverhill, MA 01830-5814
City
Haverhill
State
MA
Zip
01830-5814
Phone Number
978-556-6230
Fax Number
978-373-8223

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
219484
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · 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 Keri A Bergman, LICSW?

The NPI number of Keri A Bergman, LICSW is 1558854893. It was assigned on June 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Keri A Bergman, LICSW?

Keri A Bergman, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 219484.

Where does Keri A Bergman, LICSW practice?

The practice location is 76 Summer St, Haverhill, MA 01830. The office can be reached at 978-556-6230 (phone) or 978-373-8223 (fax).

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 1558854893 directly on the NPPES registry website.

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