Individual provider Active NPI

Markyse Bernadin, LCSW, PHD

  • Clinical Social Worker
  • North Miami, FL
National Provider Identifier
1649890799
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17078 Issued in FL
Practice address
12430 NE 6TH Ave
North Miami, FL 33161-5516
Phone
(305) 697-1060
NPI assigned
Apr 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW17078 FL
Clinical Social Worker 1041C0700X SW17078 FL Primary

Addresses

Primary practice location

12430 NE 6TH Ave
North Miami, FL 33161-5516

Mailing address

12430 NE 6TH Ave
North Miami, FL 33161-5516
Phone (305) 697-1060

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
SW17078FLMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: markysebernadin@tdh.allscriptsdirect.net

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": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1649890799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12430 NE 6TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615516",
            "telephone_number": "305-697-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12430 NE 6TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615516",
            "telephone_number": "305-697-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNADIN",
        "first_name": "MARKYSE",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-19",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW17078",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.