Provider Demographics
NPI:1669410536
Name:BERNSTEIN, RHONDA BETH (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:BETH
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 N WEST KNOLL DR APT 2
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4884
Mailing Address - Country:US
Mailing Address - Phone:747-254-6014
Mailing Address - Fax:
Practice Address - Street 1:7257 BEVERLY BLVD STE 108
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-2567
Practice Address - Country:US
Practice Address - Phone:747-254-6014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1136381041C0700X
CA262391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical