Maria J Bernal

Individual provider Active NPI Clinical Social Worker · Corona, NY

NPI 1780465880 · NPPES record last updated Oct 26, 2023

Key facts

NPI
1780465880
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
34-10 108TH St
Corona, NY 11368
Phone
(929) 369-7643
NPI assigned
Oct 13, 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

34-10 108TH St
Corona, NY 11368

Mailing address

33 Cottonwood Rd
Port Washington, NY 11050-1632
Phone (929) 369-7643

Other practice location 1

169 W 87th St
New York, NY 10024-2903
Phone (929) 369-7643

Other providers in Corona, NY

All providers in Corona, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.