Provider Demographics
NPI:1114037082
Name:DIOP, BERNICE (LMSW,LMFT,ACSW, DCSW)
Entity Type:Individual
Prefix:MS
First Name:BERNICE
Middle Name:
Last Name:DIOP
Suffix:
Gender:F
Credentials:LMSW,LMFT,ACSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 531723
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48153-1723
Mailing Address - Country:US
Mailing Address - Phone:248-916-5270
Mailing Address - Fax:
Practice Address - Street 1:39555 ORCHARD HILL PLACE
Practice Address - Street 2:SUITE 600
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5374
Practice Address - Country:US
Practice Address - Phone:248-916-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101005714106H00000X
MI6801002491104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist