Provider Demographics
NPI:1336243831
Name:BERNARDI, ANN C (LCSW)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:C
Last Name:BERNARDI
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 1:421 PARK HILL DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3376
Mailing Address - Country:US
Mailing Address - Phone:540-371-8250
Mailing Address - Fax:540-371-0705
Practice Address - Street 1:421 PARK HILL DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3376
Practice Address - Country:US
Practice Address - Phone:540-371-8250
Practice Address - Fax:540-371-0705
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040034681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical