Provider Demographics
NPI:1720171630
Name:CAIN, BERNADETTE MONICA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:BERNADETTE
Middle Name:MONICA
Last Name:CAIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5250 CLELAND RD
Mailing Address - Street 2:
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-9623
Mailing Address - Country:US
Mailing Address - Phone:989-872-5180
Mailing Address - Fax:
Practice Address - Street 1:171 DAWSON ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:MI
Practice Address - Zip Code:48471-1062
Practice Address - Country:US
Practice Address - Phone:810-648-0330
Practice Address - Fax:810-648-3625
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010127681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical