Provider Demographics
NPI:1811122971
Name:BERNATOWICZ, DANIEL (LCSW-R)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:BERNATOWICZ
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 WOODPOINT RD APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-1837
Mailing Address - Country:US
Mailing Address - Phone:718-701-2220
Mailing Address - Fax:718-701-2225
Practice Address - Street 1:188 WOODPOINT RD APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-1837
Practice Address - Country:US
Practice Address - Phone:718-701-2220
Practice Address - Fax:718-701-2225
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72078875104100000X
NY0799731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03336954Medicaid