Active NPIIndividual provider

Kelley Bernard

Social Worker, Clinical in Springvale, Maine

NPI Number1053610600
Practice location
474 Main St, Springvale, ME 04083-1409
Fax
207-490-5263
Last updated
March 22, 2011

Kelley Bernard is a Social Worker, Clinical based in Springvale, ME. Kelley Bernard practices in Springvale, ME. The NPI Number for Kelley Bernard is 1053610600 and holds a License No. MC9733 (ME). The current practice location address for Kelley Bernard is 474 Main St, Springvale, ME 04083-1409 and can be reached out via phone at 207-324-1500 and via fax at 207-490-5263.

Provider Profile Details

NPI Number
1053610600
Provider Name
Kelley Bernard
Provider Entity Type
Individual
Gender
Female
Address
474 Main St, Springvale, ME 04083-1409
Phone Number
207-324-1500
Fax Number
207-490-5263
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2011
Last Update Date
March 22, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
474 Main St
Springvale, ME 04083-1409
State
Maine
Zip
04083-1409
Phone Number
207-324-1500
Fax Number
207-490-5263
Springvale, ME 04083Get directions →

Provider Business Mailing Address Details

Address
474 Main St
Springvale, ME 04083-1409
City
Springvale
State
ME
Zip
04083-1409
Phone Number
207-324-1500
Fax Number
207-490-5263

License Information

License Number
MC9733
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelley Bernard?

The NPI number of Kelley Bernard is 1053610600. It was assigned on March 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Kelley Bernard?

Kelley Bernard is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number MC9733.

Where does Kelley Bernard practice?

The practice location is 474 Main St, Springvale, ME 04083-1409. The office can be reached at 207-324-1500 (phone) or 207-490-5263 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053610600 directly on the NPPES registry website.

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