Provider Demographics
NPI:1891833166
Name:BERNSTEIN, NANCY G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:G
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:GROSSMAN
Other - Last Name:BERNSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:23518 CALVERT ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-1307
Mailing Address - Country:US
Mailing Address - Phone:818-590-9674
Mailing Address - Fax:818-992-1817
Practice Address - Street 1:23518 CALVERT ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-1307
Practice Address - Country:US
Practice Address - Phone:818-590-9674
Practice Address - Fax:818-992-1817
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS3693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health