Provider Demographics
NPI:1487785242
Name:BERNS, LOUIS STEVEN (LCSW C)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:STEVEN
Last Name:BERNS
Suffix:
Gender:M
Credentials:LCSW C
Other - Prefix:MR
Other - First Name:L
Other - Middle Name:STEVEN
Other - Last Name:BERNS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW C
Mailing Address - Street 1:BOX 1244
Mailing Address - Street 2:AVONDALE CENTER
Mailing Address - City:SOLOMONS
Mailing Address - State:MD
Mailing Address - Zip Code:20688
Mailing Address - Country:US
Mailing Address - Phone:410-394-0677
Mailing Address - Fax:410-394-0677
Practice Address - Street 1:14350 SOUTH SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:SOLOMONS
Practice Address - State:MD
Practice Address - Zip Code:20688
Practice Address - Country:US
Practice Address - Phone:410-394-0677
Practice Address - Fax:410-394-0677
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD088971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical