Individual provider Active NPI

Key Bernard

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1336727759
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123488 Issued in CA
Practice address
2275 Market St Ste E
San Francisco, CA 94114-1652
Phone
(415) 936-3831
NPI assigned
Mar 29, 2021
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 123488 CA
Counselor 101Y00000X 123488 CA
Clinical Social Worker 1041C0700X 123488 CA Primary

Addresses

Primary practice location

2275 Market St Ste E
San Francisco, CA 94114-1652

Mailing address

1390 Market St Ste 200
San Francisco, CA 94102-5404
Phone (415) 936-3831

Other practice location 1

2681 28th Ave
San Francisco, CA 94116-2912
Phone (415) 681-3211

Other practice location 2

1200 Folsom St
San Francisco, CA 94103-3817
Phone (415) 936-3831

Other names 1

  • Marquita Lynette Bernard Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123488CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Pretrial Diversion Project Current Accepting new patients

Locations

1200 Folsom St
San Francisco, CA 94103
Phone (415) 626-4995

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1336727759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 MARKET ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025404",
            "telephone_number": "415-936-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 MARKET ST STE E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141652",
            "telephone_number": "415-936-3831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2681 28th Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941162912",
            "country_code": "US",
            "telephone_number": "415-681-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Folsom St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941033817",
            "country_code": "US",
            "telephone_number": "415-936-3831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "KEY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "123488",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "123488",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARQUITA",
            "last_name": "BERNARD",
            "middle_name": "LYNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.