Individual provider · Type 1 NPI
Jodi Marie Bergman, LICSW
Clinical Social Worker · St. Paul, MN
Practice location
2390 Mounds View Blvd Apt 328
St. Paul, MN 55112-0040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 31995 (MN) |
Clinical Social Worker: 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 interpers…
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About NPI 1538066998
Jodi Marie Bergman, LICSW's National Provider Identifier is 1538066998, issued on Oct 20, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Oct 20, 2026.