Active NPI
Desiree Dawn Bernard, LMSW-CC
- Clinical Social Worker
- Auburn, ME
National Provider Identifier
1932477080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC13455
- Practice address
- 155 Center St # F
Auburn, ME 04210-5229 - Phone
- (207) 329-5409
- NPI assigned
- Dec 5, 2011
- Last updated
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LM13312 | ME | |
| Clinical Social Worker | 1041C0700X | MC13455 | ME | Primary |
Addresses
Primary practice location
155 Center St # F
Auburn, ME 04210-5229
Mailing address
PO Box 505
Dixfield, ME 04224
Phone (207) 329-5409
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM13312 | ME | MD | Social Worker |
| MC13455 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1932477080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505",
"city": "DIXFIELD",
"state": "ME",
"postal_code": "04224",
"telephone_number": "207-329-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CENTER ST # F",
"city": "AUBURN",
"state": "ME",
"postal_code": "042105229",
"telephone_number": "207-329-5409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "DESIREE",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "LMSW-CC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "LM13312",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC13455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.