Jeffrey Bergstrom, MSW LCSW MPA
NPI 1558840850 · Clinical Social Worker · Mullan, ID
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Bergstrom, MSW LCSW MPA is a Clinical Social Worker provider in Mullan, ID (NPI 1558840850).
Provider details
- NPI number
- 1558840850
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW LCSW MPA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 100963 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-08
- Last updated
- 2024-12-27
- Certified
- 2024-12-19
Frequently asked questions
- What is Jeffrey Bergstrom's NPI number?
- Jeffrey Bergstrom's National Provider Identifier (NPI) is 1558840850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Bergstrom's specialty?
- Jeffrey Bergstrom is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jeffrey Bergstrom located?
- Jeffrey Bergstrom's practice location on file with NPPES is 379 2nd Street, Mullan, ID 83846.
- What is Jeffrey Bergstrom's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Bergstrom is (307) 264-0114.
- Does Jeffrey Bergstrom accept Medicare?
- Jeffrey Bergstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Bergstrom's NPI active?
- Yes — Jeffrey Bergstrom's NPI (1558840850) is active in the NPPES registry as of the last update on 2024-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.