ROBIN C RABER BERGEON (LCSW) – Clinical Social Worker, NPI 1821136540

ROBIN C RABER BERGEON (LCSW) is a healthcare provider. based in Shawano, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for ROBIN C RABER BERGEON (LCSW) is 1821136540

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
ROBIN C RABER BERGEON (LCSW)
NPI
1821136540
Phone
(414) 403-5535
Address
420 E GREEN BAY ST STE 107
Enumeration Date
2 February 2007
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158538953
Graduation Year
2000 (26 years ago)
PAC ID
0840566048
Professional Enrollment ID
I20171016001388
Address ID
WI532121200MI204XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,446 CLINICAL SOCIAL WORKER in WI

Provider Addresses for ROBIN C RABER BERGEON (LCSW)

  • 420 E GREEN BAY ST STE 107

    SHAWANO, WI 541662500

    Phone: (414) 403-5535

    Fax: (414) 403-5535

    Type: Location

  • 7033 N ROCKLEDGE AVE

    GLENDALE, WI 532092941

    Phone: (715) 853-8953

    Fax: (414) 928-3049

    Type: Mailing

  • 204 E CAPITOL DR STE 104

    MILWAUKEE, WI 532121200

    Phone: (715) 853-8953

    Fax: (414) 928-3049

    Type: Location

  • River Drive, Town of Wescott, Shawano County, Wisconsin, United States

    SHAWANO, WI 541664222

    Phone: (715) 853-8953

    Fax: (715) 201-0395

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171016001388IClinical Social WorkerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54166)

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Reviews

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Frequently asked questions

How do payers reference ROBIN C RABER BERGEON (LCSW)?
For ROBIN C RABER BERGEON (LCSW), use NPI 1821136540 as the unique 10-digit identifier.
Is there an active status for ROBIN C RABER BERGEON (LCSW)?
For scheduling context, ROBIN C RABER BERGEON (LCSW) is shown as active in the registry.
What expertise is attributed to ROBIN C RABER BERGEON (LCSW)?
ROBIN C RABER BERGEON (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROBIN C RABER BERGEON (LCSW)?
Travel planning: use Shawano, Wisconsin as the reference point for ROBIN C RABER BERGEON (LCSW), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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