Netausha Bergsma, LMSW
Individual provider Active NPI Clinical Social Worker · Sault Sainte Marie, MI
NPI 1578060455 · NPPES record last updated Nov 22, 2022
Key facts
- NPI
- 1578060455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 2864 Ashmun St
Sault Sainte Marie, MI 49783-3740 - Phone
- (906) 632-5200
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230802002995 | MI | Order and Referring Only - Clinical Social Worker | 7517328875 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
2864 Ashmun St
Sault Sainte Marie, MI 49783-3740
Mailing address
2864 Ashmun St
Sault Sainte Marie, MI 49783-3740
Phone (906) 632-5200
Other names
- Netausha Moran
Other providers in Sault Sainte Marie, MI
- Gail Becker
- Robert John Beckman
- Carla A Behling
- Bradley Benslow
- Madonna Barrette Benson
- Pamela K Bernhardt
- Megan Billings
- Rosemary Blashill
- Alexis Blattner
- Aaron Bohne
All providers in Sault Sainte Marie, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.