NPI 1992635148 · live from the CMS NPI Registry
Rennie Bergman
Social Worker, Clinical in Wilmington, DE. National Provider Identifier 1992635148, active.
NPI record
| NPI | 1992635148 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 405 Foulk Rd, Wilmington, DE 19803 |
| Practice phone | 302-655-3953 |
| Enumerated | May 20, 2026 |
| Last updated | May 20, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | Q3-0011492 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.