Individual provider Active NPI

Robin C Raber Bergeon, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1821136540
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
204 E Capitol Dr Ste 104
Milwaukee, WI 53212-1200
Phone
(715) 853-8953
Fax
(414) 928-3049
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

204 E Capitol Dr Ste 104
Milwaukee, WI 53212-1200

Mailing address

7033 N Rockledge Ave
Glendale, WI 53209-2941
Phone (715) 853-8953

Other names 1

  • Robin C Raber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171016001388 WI Practitioner - Clinical Social Worker 0840566048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 E Capitol Dr
Suite 104
Milwaukee, WI 53212-1200
Phone (715) 853-8953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Counseling LLC Clinical CurrentSince Apr 19, 2010 Accepting new patients

Locations

204 E Capitol Dr
Ste 104
Milwaukee, WI 53212
Phone (414) 322-0182

420 E Green Bay St
Ste 107
Shawano, WI 54166
Phone (715) 853-8953

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1821136540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 N ROCKLEDGE AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532092941",
            "telephone_number": "715-853-8953",
            "fax_number": "414-928-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CAPITOL DR STE 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121200",
            "telephone_number": "715-853-8953",
            "fax_number": "414-928-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEON",
        "first_name": "ROBIN",
        "middle_name": "C RABER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "RABER",
            "middle_name": "C",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.