Provider Demographics
NPI:1245254978
Name:SIMS, BERNICE (LCSW)
Entity type:Individual
Prefix:MS
First Name:BERNICE
Middle Name:
Last Name:SIMS
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 1:6 BIRCHWOOD CT
Mailing Address - Street 2:UNIT# 1-O
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4529
Mailing Address - Country:US
Mailing Address - Phone:516-782-9099
Mailing Address - Fax:516-481-7524
Practice Address - Street 1:6 BIRCHWOOD CT
Practice Address - Street 2:UNIT 1-O
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4529
Practice Address - Country:US
Practice Address - Phone:516-782-9099
Practice Address - Fax:516-481-7524
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN66131041C0700X
AR1990C1041C0700X
MSC56731041C0700X
NY02782611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical