Provider Demographics
NPI:1821136540
Name:BERGEON, ROBIN C RABER (LCSW)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:C RABER
Last Name:BERGEON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:C
Other - Last Name:RABER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7033 N ROCKLEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-2941
Mailing Address - Country:US
Mailing Address - Phone:715-853-8953
Mailing Address - Fax:414-928-3049
Practice Address - Street 1:204 E CAPITOL DR STE 104
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-1200
Practice Address - Country:US
Practice Address - Phone:715-853-8953
Practice Address - Fax:414-928-3049
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical