Jean Duve Berghammer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3693-123

Practice address

15 W Milwaukee St
Suite 207
Janesville, WI 53548-2998

Phone

(608) 755-1475

Fax

(608) 755-1733

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lutheran Counseling and Family Services of Wisconsin Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wauwatosa, WI
  • NPI 1184703290
  NPD
• Janesville Psychiatric Clinic

  • Clinical Medical Laboratory
  • Janesville, WI
  • NPI 1619311321
  NPD (past)
• Janesville Psychiatric Clinic Main Inc

  • Mental Health Counselor
  • Janesville, WI
  • NPI 1659447704

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1700947512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W MILWAUKEE ST",
            "address_2": "SUITE 207",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482998",
            "telephone_number": "608-755-1475",
            "fax_number": "608-755-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W MILWAUKEE ST",
            "address_2": "SUITE 207",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482998",
            "telephone_number": "608-755-1475",
            "fax_number": "608-755-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGHAMMER",
        "first_name": "JEAN",
        "middle_name": "DUVE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "3693-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43700800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennah E Benson, PC-IT
• Samantha Benson
• Melissa A Bent, MD
• Thomas R Berentsen, MD
• Stephanie R Berg, LPC-IT, SAC-IT, SW
• Leslie E Bernstein, MD
• Donald Stuart Berry, D.O., D.C.
• Terese Bertagnoli, PTA
• Jennifer K Bestland, RN, APNP
• Better Choice Home Care LLC

• Clinical Social Worker in Janesville, WI
• Providers in Janesville, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.