Berthlyn M Bernier, MSW

Individual provider Active NPI Clinical Social Worker · Roxbury, MA

NPI 1780910455 · NPPES record last updated Oct 30, 2009

Key facts

NPI
1780910455
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
111360 (MA)
Practice address
184 Dudley St
Roxbury, MA 02119-2561
Phone
(617) 442-2002
Fax
(617) 442-4002
NPI assigned
Oct 30, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
111360MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111360 MA Yes

Addresses

Primary practice location

184 Dudley St
Roxbury, MA 02119-2561

Mailing address

121 Ruskin Rd.
Hyde Park, MA 02136
Phone (781) 588-2216

Other names

  • Berthlyn M Bernier Professional name

Other providers in Roxbury, MA

All providers in Roxbury, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.