Stacy Bernard, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Olivette, MO
NPI 1144648387 · NPPES record last updated Dec 14, 2020
Key facts
- NPI
- 1144648387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 001070 (MO)
- Practice address
- 9666 Olive Blvd Ste 205
Olivette, MO 63132-3025 - Phone
- (314) 518-0982
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 001070 | MO | Yes |
Addresses
Primary practice location
9666 Olive Blvd Ste 205
Olivette, MO 63132-3025
Mailing address
9666 Olive Blvd Ste 205
Olivette, MO 63132-3025
Phone (314) 518-0982
Other practice location 1
10020 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-7296
Other providers in Olivette, MO
- Christopher Belics
- Elle Belperio
- Kenisha Bense
- Kalkidan Gezaei Berhe
- Craig S Berkin
- Jessica Biberdorf
- Melissa Ann Bilger
- Bluesprig
- Harsha Bollepalli
- Lindy Michelle Boswell
All providers in Olivette, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.