WILLIAM THEODORE BERGSTROM LICSW
NPI 1417724113
Social Worker - Clinical in Tacoma, WA

Q: What is William Bergstrom's NPI number?

The NPI number for William Bergstrom is 1417724113. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Q: What is William Bergstrom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for William Bergstrom was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 04, 2023PECOS Enrolled

317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 403-1418 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About William Theodore Bergstrom Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM THEODORE BERGSTROM LICSW (NPI 1417724113) is an individual clinical provider in Tacoma, Washington, licensed in Washington (61443067) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417724113

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameWILLIAM THEODORE BERGSTROMCredential: LICSW

Location Address317 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4234

Mailing Address317 Martin Luther King Jr WayTacoma, WA 98405-4234

Phone(253) 403-1418

Sole ProprietorNo

Enumeration DateDecember 4, 2023

NPPES CertifiedDecember 4, 2023

✔ NPI 1417724113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WA · 61443067

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

317 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Theodore Bergstrom Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $57.27 – $172.80

Typical copayment $0.00 (range $14.31 – $43.20)

Most-billed visit code NA

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JUYOUNG PARK

Student in an Organized Health Care Education/Training Program