Individual provider Active NPI

Helen Susan Bernstein, LICENSED CLINICAL SO

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1023164183
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-15307 Issued in AZ
Practice address
3200 N Dobson Rd
Building C, Suite 109
Chandler, AZ 85224-9601
Phone
(312) 593-4456
Fax
(480) 639-1349
NPI assigned
Jan 25, 2007
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149001956 IL
Clinical Social Worker 1041C0700X LCSW-15307 AZ Primary

Addresses

Primary practice location

3200 N Dobson Rd
Building C, Suite 109
Chandler, AZ 85224-9601

Mailing address

4980 S Alma School Rd
Suite 2, #308
Chandler, AZ 85248-5545
Phone (312) 593-4456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-15307AZMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1023164183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 S ALMA SCHOOL RD",
            "address_2": "SUITE 2, #308",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485545",
            "telephone_number": "312-593-4456",
            "fax_number": "480-639-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N DOBSON RD",
            "address_2": "BUILDING C, SUITE 109",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249601",
            "telephone_number": "312-593-4456",
            "fax_number": "480-639-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "HELEN",
        "middle_name": "SUSAN",
        "credential": "LICENSED CLINICAL SO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001956",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-15307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.