Provider Demographics
NPI:1962259275
Name:BERNSTEIN, YAEL (LCSW, PMH-C)
Entity type:Individual
Prefix:
First Name:YAEL
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:LCSW, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 SHREWSBURY DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3401
Mailing Address - Country:US
Mailing Address - Phone:954-579-3479
Mailing Address - Fax:
Practice Address - Street 1:65 SHREWSBURY DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3401
Practice Address - Country:US
Practice Address - Phone:954-579-3479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0968421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical