Active NPI
Judith Rose Bernes, LCSW
- Social Worker
- West Nyack, NY
National Provider Identifier
1871651885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R0149861
- Practice address
- 175 Parrott Road
West Nyack, NY 10994-1020 - Phone
- (845) 634-3468
- Fax
- (845) 634-3468
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R0149861 | NY | Primary |
Addresses
Primary practice location
175 Parrott Road
West Nyack, NY 10994-1020
Mailing address
175 Parrott Road
West Nyack, NY 10994-1020
Phone (845) 634-3468
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56233 | Other | VBS | |
| P1889766 | Other | ROCKLAND OXFORD | |
| 10766770 | Other | COQH | |
| 374175 | Other | PHCS | |
| P2801812 | Other | NY | OXFORD |
| 74940044 | Other | GHI | |
| 108333 | Other | MHN | |
| 109560 | Other | MAGELLAN BEHAVIORAL HEALT | |
| 118055 | Other | VALUE OPTIONS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014986 | NY | MD | Mental Health Counselor |
| R0149861 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871651885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 PARROTT ROAD",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941020",
"telephone_number": "845-634-3468",
"fax_number": "845-634-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 PARROTT ROAD",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941020",
"telephone_number": "845-634-3468",
"fax_number": "845-634-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNES",
"first_name": "JUDITH",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R0149861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBS",
"identifier": "56233",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROCKLAND OXFORD",
"identifier": "P1889766",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COQH",
"identifier": "10766770",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "374175",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2801812",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "74940044",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "108333",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "109560",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "118055",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.