Provider Demographics
NPI:1972557213
Name:BERNARD, LOIS E (LCSW)
Entity type:Individual
Prefix:MS
First Name:LOIS
Middle Name:E
Last Name:BERNARD
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:PO BOX 8802
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28814-8802
Mailing Address - Country:US
Mailing Address - Phone:828-989-0087
Mailing Address - Fax:855-571-4441
Practice Address - Street 1:34 MAXWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2311
Practice Address - Country:US
Practice Address - Phone:828-989-0087
Practice Address - Fax:855-571-4441
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0006761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003309Medicaid
NC1320TOtherBLUE CROSS BLUE SHIELD
NC1320TOtherBLUE CROSS BLUE SHIELD