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TARA BERGERON LMSW
NPI 1548870074
Social Worker - Clinical in Willimantic, CT

Active since August 10, 2020PECOS Enrolled
40 MANSFIELD AVE, WILLIMANTIC, CT 06226(860) 450-7471 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2023, Aug 10, 2020 (2 updates tracked since 2020).

About Tara Bergeron Lmsw NPPES

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

TARA BERGERON LMSW (NPI 1548870074) is an individual clinical provider in Willimantic, Connecticut, licensed in Connecticut (13161) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548870074
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA BERGERONCredential: LMSW
Location Address40 MANSFIELD AVEWillimantic, CT 06226-2018
Mailing Address40 Mansfield AveWillimantic, CT 06226-2018 · (860) 450-7471
Phone(860) 450-7471
Sole ProprietorNo
Enumeration DateAugust 10, 2020
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1548870074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CT · 13161✔ Licensed in CT · 4692
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.
40 MANSFIELD AVE, Willimantic, CT 06226
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Bergeron Lmsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Tara Bergeron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,184 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut enrollment
  • 613 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06226 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

KATHY A. MONTAGUE D. M. D.
Dentist (General Practice)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
DR. KIPP W. SPENCER MD
Internal Medicine
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
FABIENNE LAGUERRE MSN, APRN, FNP-C
Nurse Practitioner (Family)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
VIRGINIA LYON LCSW
Social Worker (Clinical)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-0585
KARI A. DAVIS APRN
Nurse Practitioner
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
MYCHAEL ADRIANNA MCKEEVER DMD
Student in an Organized Health Care Education/Training Program
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
EMMA MILIKOWSKI LPC
Counselor
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
ARIYE M KRASSNER
Nurse Practitioner (Psychiatric/Mental Health)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471

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 Tara Bergeron's NPI number?

The NPI number for Tara Bergeron is 1548870074. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Where is Tara Bergeron located?

Tara Bergeron practices at 40 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (860) 450-7471.

What is Tara Bergeron's specialty?

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

Is Tara Bergeron enrolled in Medicare?

Yes. Tara Bergeron is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Bergeron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Bergeron reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Bergeron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Bergeron accept?

Health plans from Anthem Blue Cross and Blue Shield list Tara Bergeron 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 Tara Bergeron was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.