NPI age
7 years
Enumerated 2018-08-08
● Active
Type 1 · Individual
Jeffrey Robert Bergstrom, MSW LCSW MPA
Bergstrom is 1 of 1 social worker providers in Mullan and 1 of 2000 in Idaho.
Primary specialty
Social Worker
Plus 3 subspecialties
Licensed in
ID, CA, HI, MT
4 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2000 active social worker providers in Idaho.
NPI age
7 years
↓ 3 yr below median (10 yr)
State licenses
4 states
Top 91% — 9% of peers are multi-state
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-08Enumerated in NPPES
2018
2026
Where they practice
Practice location
379 2nd Street
Mullan, ID 83846
Mailing address
Po Box 444
Mullan, ID 838460444
Specialties
-
Social Worker PrimaryA 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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