Provider Demographics
NPI:1619051901
Name:BERNFELD, CINDY (LCSW)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:BERNFELD
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 1:203 BROAD ST
Mailing Address - Street 2:SUITE C4
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-4751
Mailing Address - Country:US
Mailing Address - Phone:203-877-2988
Mailing Address - Fax:203-877-8053
Practice Address - Street 1:203 BROAD ST
Practice Address - Street 2:SUITE C4
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4751
Practice Address - Country:US
Practice Address - Phone:203-877-2988
Practice Address - Fax:203-877-8053
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0054961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP2969936OtherOXFORD BEHAVIORAL HEALTH
CT140005496CT01OtherANTHEM BEHAVIORAL HEALTH
CT302678OtherMANAGED HEALTH NETWORK