Kenzie Elizabeth Bernard
Individual provider Active NPI Social Worker · Leesville, LA
NPI 1386327203 · NPPES record last updated Aug 24, 2023
Key facts
- NPI
- 1386327203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 18116 (LA)
- Practice address
- 1100 S 3Rd St
Leesville, LA 71446-4930 - Phone
- (337) 238-4350
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18116 | LA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 18116 | LA | Yes |
Addresses
Primary practice location
1100 S 3Rd St
Leesville, LA 71446-4930
Mailing address
1100 S 3Rd St
Leesville, LA 71446-4930
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.