Provider Demographics
NPI:1750608923
Name:BERNSTEIN, ELISHA S (LICSW)
Entity type:Individual
Prefix:
First Name:ELISHA
Middle Name:S
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ELISHA
Other - Middle Name:S
Other - Last Name:BARTLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BARTLETT
Mailing Address - Street 1:7 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1617
Mailing Address - Country:US
Mailing Address - Phone:978-985-8655
Mailing Address - Fax:
Practice Address - Street 1:7 GROVE ST
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1617
Practice Address - Country:US
Practice Address - Phone:978-985-8655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1227741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical