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Deactivated NPI 1255605457 Deactivated / Inactive NPI Female Practitioner

Ellen J Bergstrom , LBSW

Case Manager/Care Coordinator • Flint, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ellen Bergstrom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 06, 2012
NPI Deactivation Date August 30, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Ellen Bergstrom, LBSW was a registered Case Manager/Care Coordinator practicing in Flint, MI. Throughout an active medical career spanning 13 years, Ellen Bergstrom provided care at the practice location at 4400 S SAGINAW ST until profile deactivation on 2025-08-30.

Practice Location & Contact Primary Location

Practice Address

4400 S Saginaw St
Suite 1460

Flint, MI 485072645

Telephone 8102370799
Fax 8102370805
Associated Practice Facility / Clinic
🏢 Consumer Services Inc. Facility NPI 1508046137

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Flint, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
417 Specialists

Practicing in Flint, MI (4620 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License MI 6802074962

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alexandra Sanborn , SST

Case Manager/Care Coordinator

NPI 1013281195
Austin Freshour , BS

Case Manager/Care Coordinator

NPI 1013281229

Bachelor of Science

NPI 1023412772
Beau Martin , BS

Case Manager/Care Coordinator

NPI 1033065339

Bachelor of Science

Ashiya Edmond , BA, QMHP, QIDP

Case Manager/Care Coordinator

NPI 1043075740

Bachelor of Arts, Qualified Mental Health Professional, QIDP

Montrice Walker-Sanders , LLBSW

Case Manager/Care Coordinator

NPI 1043685241

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 30, 2025

Record deactivated on August 30, 2025

NPI Profile Active March 06, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 06, 2012

Registered at 4400 S SAGINAW ST, SUITE 1460, FLINT, MI 485072645 (Tel: 8102370799)

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Updated Business Mailing Address March 06, 2012

Registered at 585 JEWETT RD, MASON, MI 488548729 (Tel: 5176765405)

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Provider Name / Credentials Updated March 06, 2012

Recorded as ELLEN BERGSTROM, LBSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2012

Case Manager/Care Coordinator (License #6802074962 in MI)

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Initial NPI Registration & Enumeration March 06, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255605457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2012
Last Update: March 06, 2012
Deactivation Date: August 30, 2025

Mailing Address

585 Jewett Rd

Mason, MI 488548729

Phone: 5176765405

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.