MEDICARE: KEY BERNARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	123488	CA
2	101Y00000X	Counselor	123488	CA
3	1041C0700X	Clinical Social Worker	123488	CA

General Provider Information

NPI Number	:	1336727759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEY BERNARD

Provider Business Mailing Address
First Line	:	1390 MARKET ST STE 200
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-5404
Country	:	US
Telephone Number	:	415-936-3831
Fax Number	:

Provider Business Practice Location Address
First Line	:	2275 MARKET ST STE E
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1652
Country	:	US
Telephone Number	:	415-936-3831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	11/09/2024

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Directions to “ KEY BERNARD ” Practice Location

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