MEDICARE: MS. RHONDA BETH BERNSTEIN MSW

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	1041C0700X	Clinical Social Worker	113638	MA
2	1041C0700X	Clinical Social Worker	14039357-3501	UT
3	1041C0700X	Clinical Social Worker	26239	CA

General Provider Information

NPI Number	:	1669410536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RHONDA BETH BERNSTEIN MSW

Provider Business Mailing Address
First Line	:	PO BOX 93217
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90093-0217
Country	:	US
Telephone Number	:	747-254-6014
Fax Number	:

Provider Business Practice Location Address
First Line	:	1626 N FULLER AVE APT 302
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-3542
Country	:	US
Telephone Number	:	747-254-6014
Fax Number	:

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	03/12/2026

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