Jasmine Keana Bernard, LCSW, LSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10974 Issued in NM

Practice address

7008 Kayser Mill Rd NW
Albuquerque, NM 87114-5977

Phone

(850) 240-6170

NPI assigned

Nov 30, 2017

Last updated

Jun 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1871007781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 KAYSER MILL RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145977",
            "telephone_number": "850-240-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 KAYSER MILL RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145977",
            "telephone_number": "850-240-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "JASMINE",
        "middle_name": "KEANA",
        "credential": "LCSW, LSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-10036",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernalillo County Youth Services Center
• Bernalillo County Youth Services Center
• Bernalillo Family Health Clinic, LLC
• Bernalillo Family Health Clinic, LLC (Oak Street Clinic)
• Bernalillo Health Supplies
• Jennifer Fawn Bernard, PH.D.
• Laurel B Bernard, PT, OCS, FAAOMPT
• Judith Berner, RN
• Katherine Bernhardt
• Scott Bernhardt, LCSW

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.