Janice M Bergman, LCSW
Social Worker, Clinical in Lake Oswego, OR. Individual provider (NPI-1).
NPI number1992967525
StatusActive
Last updated in NPPESJun 25, 2008
Details
- NPI
- 1992967525
- Entity type
- Individual (NPI-1)
- Name
- Ms. Janice M Bergman
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2008
- Last updated
- Jun 25, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW1156 | OR | Yes |
Practice location
15100 Boones Ferry RdSuite 700a
Lake Oswego, OR 97035-3469
Phone 503-636-2877 · Fax 503-635-9127
Mailing address
15100 Boones Ferry RdSuite 700a
Lake Oswego, OR 97035-3469
Phone 503-636-2877 · Fax 503-635-9127
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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