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MI JA KANG BERGERSON LICSW
NPI 1659086601
Social Worker - Clinical in Mound, MN

Active since January 13, 2023PECOS Enrolled
2385 CHATEAU LN, MOUND, MN 55364(612) 743-7893 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mi Ja Kang Bergerson Licsw NPPES

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

MI JA KANG BERGERSON LICSW (NPI 1659086601) is an individual clinical provider in Mound, Minnesota, licensed in Minnesota (28770) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659086601
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMI JA KANG BERGERSONCredential: LICSW
Location Address2385 CHATEAU LNMound, MN 55364-1750
Mailing Address2385 Chateau LnMound, MN 55364-1750 · (612) 743-7893
Phone(612) 743-7893
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 13, 2023
NPPES CertifiedJanuary 13, 2023
✔ NPI 1659086601 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 MN · 28770
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.
2385 CHATEAU LN, Mound, MN 55364
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Mi Ja Kang Bergerson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335503770
PECOS Enrollment IDI20230918003667
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 55364 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Mi Ja Bergerson's NPI number?

The NPI number for Mi Ja Bergerson is 1659086601. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Where is Mi Ja Bergerson located?

Mi Ja Bergerson practices at 2385 Chateau Ln, Mound, MN 55364. The listed phone number is (612) 743-7893.

What is Mi Ja Bergerson's specialty?

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

Is Mi Ja Bergerson enrolled in Medicare?

Yes. Mi Ja Bergerson is registered in the Medicare PECOS enrollment system.

What insurance does Mi Ja Bergerson accept?

Health plans from HealthPartners list Mi Ja Bergerson 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 Mi Ja Bergerson was last updated on January 13, 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.