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

Rebecca Ann Bergeron, LICSW

Individual provider Social Worker · NPI 1518270313

Rebecca Ann Bergeron, LICSW is a Social Worker in Providence, Rhode Island. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

830 Chalkstone Ave
Providence, RI 02908-4734
Phone: (401) 273-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 128142 (MA)

Record details

NPI number1518270313
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 21, 2010
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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