Jeffrey Robert Bergstrom, MSWLCSWMPA
Jeffrey Robert Bergstrom, MSWLCSWMPA is a Clinical Social Worker in Mullan, Idaho. Practices as a sole proprietor. Licensed in California, Hawaii, Idaho and Montana.
- Licensed in
- CA, HI, ID, MT
- In the registry since
- 2018
- Specialties on file
- 4
Practice location Address checks out
379 2nd StMullan, ID 83846
Phone: (307) 264-0114
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 40757 (ID) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 100963 (CA) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 4686 (HI) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 49993 (MT) |
Record details
| NPI number | 1558840850 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSWLCSWMPA |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2018 |
| Last updated in NPPES | December 27, 2024 |
| Certification date | December 19, 2024 |