Janice M Bergman is a Clinical in Lake Oswego, Oregon. Janice M Bergman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Janice M Bergman is 1992967525. The last update date is 2008-06-25.
Janice M Bergman's current location address is 15100 Boones Ferry Rd, Lake Oswego, Oregon. You can contact this provider via phone number 5036362877 and fax number 5036359127. The mailing address for Janice M Bergman is 15100 Boones Ferry Rd, Lake Oswego, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Janice M Bergman |
|---|---|
| Address | 15100 Boones Ferry Rd, Lake Oswego, Oregon |
| Phone Number | 5036362877 |
| Fax Number | 5036359127 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1992967525 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 15100 Boones Ferry Rd |
|---|---|
| City | Lake Oswego |
| State | Oregon (OR) |
| Post Code | 970353469 |
| Phone Number | 5036362877 |
| Fax Number | 5036359127 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW1156 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1156 | OR | LCSW |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Janice M Bergman by the Centers for Medicare & Medicaid Services?
The Janice M Bergman has been issued the NPI (National Provider Identifier) 1992967525 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Janice M Bergman located?
The Janice M Bergman is located at 15100 Boones Ferry Rd, Lake Oswego, OR 970353469.
What is the Janice M Bergman's area of specialization and corresponding taxonomy classification?
The Janice M Bergman's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1992967525 to Janice M Bergman?
The Centers for Medicare & Medicaid Services assigned the 1992967525 to Janice M Bergman on 2008-06-25.
When was the information pertaining to Janice M Bergman most recently updated or revised?
The details related to Janice M Bergman, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-25.
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