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Deactivated NPI 1518312875 Deactivated / Inactive NPI Male Practitioner

Thomas Bergen , LSW

Social Worker • South River, NJ

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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, Thomas Bergen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2016
NPI Deactivation Date May 28, 2026
Total Practice Duration ~10 Years of Practice (2016 – 2026)

Professional Overview & Biography Verified Profile Summary

Thomas Bergen, LSW was a registered Social Worker practicing in South River, NJ. Throughout an active medical career spanning 10 years, Thomas Bergen provided care at the practice location at 11 DEVOE ST until profile deactivation on 2026-05-28.

Practice Location & Contact Primary Location

Practice Address

11 Devoe St

South River, NJ 088821939

Telephone 7327106319
Associated Practice Facility / Clinic
🏢 Bright Futures Counseling Llc Facility NPI 1326493586

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in South River, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
1 Specialists

Practicing in South River, NJ (4301 Statewide)

Telehealth Adoption Rate
0.0% 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

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NJ 44SL05986800

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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 May 28, 2026

Record deactivated on May 28, 2026

NPI Profile Active April 25, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 25, 2016

Registered at 11 DEVOE ST, SOUTH RIVER, NJ 088821939 (Tel: 7327106319)

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Updated Business Mailing Address April 25, 2016

Registered at 11 DEVOE ST, SOUTH RIVER, NJ 088821939 (Tel: 7327106319)

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Provider Name / Credentials Updated April 25, 2016

Recorded as THOMAS BERGEN, LSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2016

Social Worker (License #44SL05986800 in NJ)

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Initial NPI Registration & Enumeration April 25, 2016

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: 1518312875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2016
Last Update: April 25, 2016
Deactivation Date: May 28, 2026

Mailing Address

11 Devoe St

South River, NJ 088821939

Phone: 7327106319

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.