JEREMY BERGERON LMSW
NPI 1700509023
Social Worker - Clinical in Southfield, MI

Q: What is Jeremy Bergeron's NPI number?

The NPI number for Jeremy Bergeron is 1700509023. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Q: What is Jeremy Bergeron'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 Jeremy Bergeron was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 September 21, 2022PECOS EnrolledAccepts Medicare Assignment

22170 W 9 MILE RD, SOUTHFIELD, MI 48033(248) 372-6800 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2025, Sep 21, 2022 (2 updates tracked since 2022).

On this page

About Jeremy Bergeron Lmsw NPPES

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

JEREMY BERGERON LMSW (NPI 1700509023) is an individual clinical provider in Southfield, Michigan, licensed in Michigan (6801120986) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1700509023

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJEREMY BERGERONCredential: LMSW

Location Address22170 W 9 MILE RDSouthfield, MI 48033-6007

Mailing Address22170 W 9 Mile RdSouthfield, MI 48033-6007 · (248) 372-6800

Phone(248) 372-6800

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 21, 2022

Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1700509023 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 MI · 6801120986

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.

22170 W 9 MILE RD, Southfield, MI 48033

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Bergeron Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496246332

PECOS Enrollment IDI20251118003932

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 48033 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 $58.04 – $177.36

Typical copayment $0.00 (range $14.51 – $44.34)

Most-billed visit code NA

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

KAREN NICHOLS BSW

Case Manager/Care Coordinator