BONNIE JAN BERG LCSW
NPI 1366518813
Social Worker - Clinical in Portland, OR
About Bonnie Jan Berg Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONNIE JAN BERG LCSW (NPI 1366518813) is an individual clinical provider in Portland, Oregon, licensed in Oregon (4065) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Bonnie Jan Berg Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97205
PORTLAND, OR 97205
PORTLAND, OR 97205
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bonnie Berg's NPI number?
The NPI number for Bonnie Berg is 1366518813. It was assigned to this individual provider in the NPPES registry on November 27, 2006.
Where is Bonnie Berg located?
Bonnie Berg practices at 1020 SW Taylor St Suite 650, Portland, OR 97205. The listed phone number is (503) 224-4654.
What is Bonnie Berg's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Bonnie Berg enrolled in Medicare?
No. Bonnie Berg has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Bonnie Berg accept?
Health plans from PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Bonnie Berg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bonnie Berg was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bonnie Jan Berg, LCSW · NPI 1366518813
Clinical provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since November 27, 2006.
## Identity
- **NPI:** 1366518813 (Entity type: Individual)
- **Enumerated:** November 27, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 4065 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1020 SW TAYLOR ST, SUITE 650, Portland, OR 97205-2543
- **Phone:** (503) 224-4654
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** May 8, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1366518813) · Data from the CMS NPPES public registry.