Provider Demographics
NPI:1568194751
Name:BELL, BERNADINE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:BERNADINE
Middle Name:
Last Name:BELL
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 1:23300 GREENFIELD RD STE 122
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-8408
Mailing Address - Country:US
Mailing Address - Phone:248-968-9508
Mailing Address - Fax:
Practice Address - Street 1:23300 GREENFIELD RD STE 122
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-8408
Practice Address - Country:US
Practice Address - Phone:248-968-9508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical