Healthcare Provider Details

I. General information

NPI: 1235609975
Provider Name (Legal Business Name): AMY BERGANT MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 S 9TH ST
CANON CITY CO
81212-3800
US

IV. Provider business mailing address

107 S 9TH ST
CANON CITY CO
81212-3800
US

V. Phone/Fax

Practice location:
  • Phone: 719-429-1260
  • Fax:
Mailing address:
  • Phone: 719-221-0959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: