Marion Bardin, LCSW AND MFC

Individual provider Active NPI Clinical Social Worker · Berkeley, CA

NPI 1861526428 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1861526428
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCS4387 (CA)
Practice address
2340 Ward St
Suite 204
Berkeley, CA 94705
Phone
(510) 841-8336
NPI assigned
Mar 15, 2007
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

State licenses

LicenseStateTypeSpecialty
LCS4387CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS4387 CA Yes

Addresses

Primary practice location

2340 Ward St
Suite 204
Berkeley, CA 94705

Mailing address

2340 Ward St
Suite 204
Berkeley, CA 94705
Phone (510) 841-8336

Other providers in Berkeley, CA

All providers in Berkeley, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.