Provider Demographics
NPI:1497521314
Name:BERNAL, LITHZIA V (LMSW)
Entity Type:Individual
Prefix:
First Name:LITHZIA
Middle Name:V
Last Name:BERNAL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 S MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-6207
Mailing Address - Country:US
Mailing Address - Phone:325-944-2561
Mailing Address - Fax:325-541-3645
Practice Address - Street 1:102 S MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-6207
Practice Address - Country:US
Practice Address - Phone:575-249-2561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker