Provider Demographics
NPI:1699397398
Name:PIRRELLO, BERNADETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:
Last Name:PIRRELLO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BERNADETTE
Other - Middle Name:LYNNE
Other - Last Name:KEATING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:27923 BERWICK DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8518
Mailing Address - Country:US
Mailing Address - Phone:831-402-7500
Mailing Address - Fax:
Practice Address - Street 1:27923 BERWICK DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8518
Practice Address - Country:US
Practice Address - Phone:831-402-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical