Individual provider Active NPI

Cindy Bernfeld, LCSW

  • Clinical Social Worker
  • Milford, CT
National Provider Identifier
1619051901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005496 Issued in CT
Practice address
203 Broad St
Suite C4
Milford, CT 06460-4751
Phone
(203) 877-2988
Fax
(203) 877-8053
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 005496 CT Primary

Addresses

Primary practice location

203 Broad St
Suite C4
Milford, CT 06460-4751

Mailing address

203 Broad St
Suite C4
Milford, CT 06460-4751
Phone (203) 877-2988

Other identifiers 3

IdentifierTypeStateIssuer
140005496CT01OtherCTANTHEM BEHAVIORAL HEALTH
P2969936OtherCTOXFORD BEHAVIORAL HEALTH
302678OtherCTMANAGED HEALTH NETWORK

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
005496CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619051901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BROAD ST",
            "address_2": "SUITE C4",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604751",
            "telephone_number": "203-877-2988",
            "fax_number": "203-877-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BROAD ST",
            "address_2": "SUITE C4",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604751",
            "telephone_number": "203-877-2988",
            "fax_number": "203-877-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNFELD",
        "first_name": "CINDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BEHAVIORAL HEALTH",
            "identifier": "140005496CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD BEHAVIORAL HEALTH",
            "identifier": "P2969936",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "302678",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.