Provider Demographics
NPI:1477885390
Name:GAUMER, BERNADETTE MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:MARIE
Last Name:GAUMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 W 1ST ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WIND GAP
Mailing Address - State:PA
Mailing Address - Zip Code:18091-1515
Mailing Address - Country:US
Mailing Address - Phone:484-619-5899
Mailing Address - Fax:610-881-5148
Practice Address - Street 1:31 W 1ST ST STE 1
Practice Address - Street 2:
Practice Address - City:WIND GAP
Practice Address - State:PA
Practice Address - Zip Code:18091-1515
Practice Address - Country:US
Practice Address - Phone:484-619-5899
Practice Address - Fax:610-881-5148
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0184171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical