NPI 1962695981 · live from the CMS NPI Registry
Doris Cecile Bergeron, LCSW
Social Worker, Clinical in Anchorage, AK. National Provider Identifier 1962695981, active.
NPI record
| NPI | 1962695981 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 4050 Lake Otis Pkwy, Suite 112, Anchorage, AK 99508 |
| Practice phone | 907-230-6496 |
| Mailing address | 3355 Dickson Rd, Anchorage, AK 99504 |
| Enumerated | August 22, 2007 |
| Last updated | October 29, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 825 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.