Provider Demographics
NPI:1952734501
Name:BERARD, SHEILA (LCSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:BERARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FOREST AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5238
Mailing Address - Country:US
Mailing Address - Phone:201-240-9176
Mailing Address - Fax:
Practice Address - Street 1:10 FOREST AVE STE 209
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5238
Practice Address - Country:US
Practice Address - Phone:201-240-9176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0235701041C0700X
NY0935551041C0700X
MA1116361041C0700X
NJ44SC052587001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical