Provider Demographics
NPI:1154003135
Name:ST. BERNARD, VALERIE JEAN (MSW, CASAC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:JEAN
Last Name:ST. BERNARD
Suffix:
Gender:F
Credentials:MSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 PHELPS LN
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-4045
Mailing Address - Country:US
Mailing Address - Phone:631-948-8706
Mailing Address - Fax:
Practice Address - Street 1:281 PHELPS LN
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-4045
Practice Address - Country:US
Practice Address - Phone:631-422-7676
Practice Address - Fax:631-422-7609
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY36326101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY36326OtherNYS OASAS