Daniel Robert Bergin, MSW

Individual provider Active NPI Clinical Social Worker · Hartford, CT

NPI 1760635270 · NPPES record last updated Oct 28, 2008

Key facts

NPI
1760635270
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
896 Asylum Ave
Hartford, CT 06105-1901
Phone
(860) 522-8241
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

896 Asylum Ave
Hartford, CT 06105-1901

Mailing address

896 Asylum Ave
Hartford, CT 06105-1901
Phone (860) 522-8241

Other providers in Hartford, CT

All providers in Hartford, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.