Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Robert Bergman, LLMSW

Individual provider Clinical Social Worker · NPI 1639502636

Mr. Robert Bergman, LLMSW is a Clinical Social Worker in Wyoming, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2013
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Practice location Address checks out

3353 Lousma Dr SE
Wyoming, MI 49548-2251
Phone: (616) 241-6258
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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 104100000X (MI)

Record details

NPI number1639502636
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedAugust 13, 2013
Last updated in NPPESAugust 13, 2013
Mailing address1645 Jennette Ave Nw, Grand Rapids, MI 49504-2840

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