Provider Demographics
NPI:1609669472
Name:BERNSTEIN, CYD (ASW)
Entity type:Individual
Prefix:
First Name:CYD
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95494-0225
Mailing Address - Country:US
Mailing Address - Phone:707-367-1831
Mailing Address - Fax:
Practice Address - Street 1:13500 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95415-9133
Practice Address - Country:US
Practice Address - Phone:707-895-3477
Practice Address - Fax:707-895-2035
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1164401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical