Individual
MS. ANITA JEAN BERGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
117 STATE ROUTE 35, SUITE 5, KEYPORT, NJ 07735-1406
(732) 264-7999
(732) 264-8140
Mailing address
117 STATE ROUTE 35, SUITE 5, KEYPORT, NJ 07735-1406
(732) 264-7999
(732) 264-8140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC 000215
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080073
GHI
NJ
01
—
0467769000
AMERIHEALTH
NJ
01
—
169348
MHN/HEALTHNET
NJ
01
—
270606
VALUE OPTIONS
NJ
01
—
29202
CIGNA
NJ
01
—
34930600
MAGELLAN BEHAVIORAL HEALT
NJ
01
—
P2942323
OXFORD
NJ
Enumeration date
07/06/2006
Last updated
07/09/2007
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