Provider Demographics
NPI:1598810921
Name:BERNSTEIN, CHRISTINA MEG (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MEG
Last Name:BERNSTEIN
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 1:520 W 23RD ST APT 9B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1135
Mailing Address - Country:US
Mailing Address - Phone:917-449-0027
Mailing Address - Fax:
Practice Address - Street 1:451 CLARKSON AVE RM 4037
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2054
Practice Address - Country:US
Practice Address - Phone:718-245-2722
Practice Address - Fax:718-771-3873
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0039191041C0700X
NY078845-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical