Mi Ja Kang Bergerson, LICSW
Mi Ja Kang Bergerson, LICSW is a Clinical Social Worker in Mound, Minnesota. Qualified in 2018, 8 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group and offers telehealth. Licensed in Minnesota.
- Years since qualifying
- 8
- Licensed in
- MN
- In the registry since
- 2023
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
2385 Chateau LnMound, MN 55364-1750
Phone: (612) 743-7893
Show map & directions
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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 28770 (MN) |
|---|
Record details
| NPI number | 1659086601 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2023 |
| Last updated in NPPES | January 13, 2023 |
| Certification date | January 13, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
Other providers in Mound
-
Mr. Gary Lawrence Steffens, LICSW
5021 Wilshire Blvd, Mound, MN 55364-1844 · (952) 583-8901