1528266087 NPI number — MS. AIMEE L BERNSTEIN LCSW

Table of content: MS. AIMEE L BERNSTEIN LCSW (NPI 1528266087)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528266087 NPI number — MS. AIMEE L BERNSTEIN LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BERNSTEIN
Provider First Name:
AIMEE
Provider Middle Name:
L
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SHEARER
Provider Other First Name:
AIMEE
Provider Other Middle Name:
L
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1528266087
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
116 S GEORGE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17401-1474
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-801-4821
Provider Business Mailing Address Fax Number:
717-854-6645

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
369 LOCUST STREET
Provider Second Line Business Practice Location Address:
FIRST FLOOR
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17512-1383
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-342-2577
Provider Business Practice Location Address Fax Number:
717-449-5082
Provider Enumeration Date:
07/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CW014804 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9134136 . This is a "AETNA (TRADITIONAL)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 103094442 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1841921 . This is a "AETNA (HMO)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: CW014804 . This is a "CSW LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 221972 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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