Jeffrey Maurice Bernier, LICSW
Individual provider Active NPI Clinical Social Worker · Corinth, MS
NPI 1386658581 · NPPES record last updated Oct 29, 2018
Key facts
- NPI
- 1386658581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ISW01687 (RI)
- Practice address
- 601 Foote St
Corinth, MS 38834-4834 - Phone
- (662) 287-4424
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01687 | RI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01687 | RI | Yes |
Addresses
Primary practice location
601 Foote St
Corinth, MS 38834-4834
Mailing address
601 Foote St
Corinth, MS 38834-4834
Phone (662) 287-4424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410696 | Other | RI | BLUECHIP |
| 25774-7 | Other | RI | BLUE CROSS |
| JB41625 | Medicaid | RI |
Other providers in Corinth, MS
- James Michael Bell
- Shana Lynn Bell
- Brian Chase Bennett
- James Albert Bennett
- Tiffany Sophia Bennett
- Jackson Bertone
- Philip Anthony Bickert
- Bickerts Orthotics & Prosthetics
- Jamie Leann Bishop
- Lindsay Bishop
All providers in Corinth, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2018. 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.