IndividualActive
Bergan Bolthouse
NPI 1740175512 · Clinical Social Worker · Wyoming, MI
Bergan Bolthouse is a Clinical Social Worker provider in Wyoming, MI (NPI 1740175512).
Provider details
- NPI number
- 1740175512
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6851120274 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1055 Gezon Pkwy Sw
Wyoming, MI 49509-9542
Phone: (616) 773-2908
Street-level locationGet directions
Mailing address
180 Heron Dr Nw Apt 203f
Grand Rapids, MI 49534-1587
Registry dates
- Enumerated
- 2025-06-11
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Bergan Bolthouse's NPI number?
- Bergan Bolthouse's National Provider Identifier (NPI) is 1740175512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bergan Bolthouse's specialty?
- Bergan Bolthouse is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Bergan Bolthouse located?
- Bergan Bolthouse's practice location on file with NPPES is 1055 Gezon Pkwy Sw, Wyoming, MI 49509-9542.
- What is Bergan Bolthouse's phone number?
- The practice phone number listed in the NPPES registry for Bergan Bolthouse is (616) 773-2908.
- Is Bergan Bolthouse's NPI active?
- Yes — Bergan Bolthouse's NPI (1740175512) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.