Tara Bergeron, LMSW
NPI 1548870074ActiveIndividual· Social Worker, Clinical· Willimantic, CT
Social Worker, Clinical (LMSW) in Willimantic, Connecticut, licensed in CT, with an NPI issued in August 2020. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1548870074 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | No |
| NPI issued | Aug 10, 2020 |
| Last updated in NPPES | Jul 14, 2023 |
| Certified by provider | Jul 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 13161 | CT |
| Social Worker, Clinical | 1041C0700X | 4692 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CT) |
|---|
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