| Bethany Bernard, Lcsw, Llc | |
|
1555 S Havana St Unit F-322 Aurora CO 80012-5004 | |
| (970) 964-8316 | |
| Not Available |
| Full Name | Bethany Bernard, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1555 S Havana St Unit F-322, Aurora, Colorado |
| Authorized Official Name and Position | Bethany Bernard (OWNER) |
| Authorized Official Contact | 9709648316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Bernard, Lcsw, Llc 1555 S Havana St Unit F-322 Aurora CO 80012-5004 Ph: (970) 964-8316 | Bethany Bernard, Lcsw, Llc 1555 S Havana St Unit F-322 Aurora CO 80012-5004 Ph: (970) 964-8316 |
| NPI Number | 1881359537 |
|---|---|
| Provider Enumeration Date | 11/07/2021 |
| Last Update Date | 11/07/2021 |
| Certification Date | 10/28/2021 |
| Medicare PECOS PAC ID | 9234520214 |
|---|---|
| Medicare Enrollment ID | O20211230000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881359537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bethany Bernard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609473503 PECOS PAC ID: 3971992512 Enrollment ID: I20211119001011 |
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