Active NPIIndividual provider

Ms. Bernadina L Van Deusen, LCSW

Social Worker, Clinical in Stafford Springs, Connecticut

NPI Number1366224784
Practice location
21 Hyde Park RD, Stafford Springs, CT 06076-1507
Fax
860-684-0511
Last updated
October 19, 2023

Bernadina Lakshmi Van Deusen is a Social Worker, Clinical based in Stafford Springs, CT. Bernadina Lakshmi Van Deusen practices in Stafford Springs, CT and has the professional credentials of LCSW. The NPI Number for Bernadina Lakshmi Van Deusen is 1366224784 and holds a License No. 007087 (CT). The current practice location address for Bernadina Lakshmi Van Deusen is 21 Hyde Park RD, Stafford Springs, CT 06076-1507 and can be reached out via phone at 860-684-4239 and via fax at 860-684-0511.

Provider Profile Details

NPI Number
1366224784
Provider Name
Bernadina Lakshmi Van Deusen
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
21 Hyde Park RD, Stafford Springs, CT 06076-1507
Phone Number
860-684-4239
Fax Number
860-684-0511
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 19, 2023
Last Update Date
October 19, 2023
Certification Date
October 19, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Hyde Park RD
Stafford Springs, CT 06076-1507
Zip
06076-1507
Phone Number
860-684-4239
Fax Number
860-684-0511
Stafford Springs, CT 06076Get directions →

Provider Business Mailing Address Details

Address
306 Leonard RD
Stafford Springs, CT 06076-3304
City
Stafford Springs
State
CT
Zip
06076-3304
Phone Number
860-997-6286

License Information

License Number
007087
License State
CT
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 Ms. Bernadina L Van Deusen, LCSW?

The NPI number of Ms. Bernadina L Van Deusen, LCSW is 1366224784. It was assigned on October 19, 2023 and is currently active in the NPPES registry.

What is the specialty of Ms. Bernadina L Van Deusen, LCSW?

Ms. Bernadina L Van Deusen, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 007087.

Where does Ms. Bernadina L Van Deusen, LCSW practice?

The practice location is 21 Hyde Park RD, Stafford Springs, CT 06076-1507. The office can be reached at 860-684-4239 (phone) or 860-684-0511 (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 1366224784 directly on the NPPES registry website.

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