Individual provider Active NPI

Christina Marie Bernhard, LCSW-R

  • Clinical Social Worker
  • Cairo, NY
National Provider Identifier
1417949561
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R078229-01 Issued in NY
Practice address
905 Greene County Office BLDG
Cairo, NY 12413-2868
Phone
(518) 622-9163
Fax
(518) 622-8592
NPI assigned
Aug 16, 2005
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R078229-01 NY Primary

Addresses

Primary practice location

905 Greene County Office BLDG
Cairo, NY 12413-2868

Mailing address

905 County Building
Cairo, NY 12413-2541
Phone (518) 622-9163

Other identifiers 1

IdentifierTypeStateIssuer
R078229-01OtherNYTHE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000696 NY Practitioner - Clinical Social Worker 0840255154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of GreeneGroup PAC ID 9133038219, 18 clinicians

Practice addresses (Care Compare)

905 Greene County Office BLDG
Cairo, NY 12413-2868
Phone (518) 622-9163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R078229-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Greene CurrentSince May 6, 2024 Accepting new patients
Family Services, Inc. Clinical CurrentSince Mar 23, 2019 Accepting new patients
Columbia County CurrentSince Apr 15, 2021 Accepting new patients
County of Greene CurrentSince May 6, 2024 Accepting new patients
Columbia County CurrentSince Apr 15, 2021 Accepting new patients

Locations

223 Main St
Beacon, NY 12508
Phone (845) 838-4900

905 Greene County Office Bldg
Cairo, NY 12413

325 Columbia St
Ste 300
Hudson, NY 12534
Phone 51882894461213

230 North Rd
Poughkeepsie, NY 12601
Phone (845) 452-0774

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

Interoperability endpoints

  • Direct secure messaging: christinabernhard@gcmh.medentdirect.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1417949561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 COUNTY BUILDING",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124132541",
            "telephone_number": "518-622-9163",
            "fax_number": "845-452-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 GREENE COUNTY OFFICE BLDG",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124132868",
            "telephone_number": "518-622-9163",
            "fax_number": "518-622-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARD",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-07-18",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R078229-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFE",
            "identifier": "R078229-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, NY

Sources for this page

Verify at the official NPI Registry.