Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kerri A Bergendahl, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1104110600

Kerri A Bergendahl, MSW, LICSW is a Clinical Social Worker in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

300 Carew St Ste 2
Springfield, MA 01104-2146
Phone: (413) 794-9816
Fax: (413) 794-4945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 117748 (MA)

Record details

NPI number1104110600
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJune 2, 2011
Last updated in NPPESApril 9, 2019

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