Provider Demographics
NPI:1558447748
Name:ANTELMAN, BERNI J (LCSWC MSW)
Entity Type:Individual
Prefix:MS
First Name:BERNI
Middle Name:J
Last Name:ANTELMAN
Suffix:
Gender:F
Credentials:LCSWC MSW
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Mailing Address - Street 1:10630 LITTLE PATUXENT PARKWAY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3264
Mailing Address - Country:US
Mailing Address - Phone:410-740-0409
Mailing Address - Fax:301-854-9040
Practice Address - Street 1:10630 LITTLE PATUXENT PARKWAY
Practice Address - Street 2:SUITE 307
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3264
Practice Address - Country:US
Practice Address - Phone:410-740-0409
Practice Address - Fax:301-854-9040
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD030521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical