Active NPI
Wren Bernstein, LICSW
- Clinical Social Worker
- Pittsfield, MA
National Provider Identifier
1124420161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1026162
- Practice address
- 163 South St
Suite 2
Pittsfield, MA 01201-6988 - Phone
- (413) 442-6700
- Fax
- (413) 442-6708
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1026162 | MA | Primary |
Addresses
Primary practice location
163 South St
Suite 2
Pittsfield, MA 01201-6988
Mailing address
PO Box 631
Lenox, MA 01240-0631
Phone (413) 442-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141210002063 | MA | Practitioner - Clinical Social Worker | 5698097202 | Practice locations: Lee, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15 Pine Ridge Dr
Lee, MA 01238-9584
Phone (413) 441-0750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1026162 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1124420161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631",
"city": "LENOX",
"state": "MA",
"postal_code": "012400631",
"telephone_number": "413-442-6700",
"fax_number": "413-442-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 SOUTH ST",
"address_2": "SUITE 2",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016988",
"telephone_number": "413-442-6700",
"fax_number": "413-442-6708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "WREN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1026162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.