Provider Demographics
NPI:1205086543
Name:BERNS SIMON, ALISON (MSW, LCSW, BCD)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:BERNS SIMON
Suffix:
Gender:F
Credentials:MSW, LCSW, BCD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:BERNS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:70 GLEN COVE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1726
Mailing Address - Country:US
Mailing Address - Phone:516-626-2517
Mailing Address - Fax:516-626-2085
Practice Address - Street 1:70 GLEN COVE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1726
Practice Address - Country:US
Practice Address - Phone:516-626-2517
Practice Address - Fax:516-626-2085
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0695731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical