Healthcare Provider Details

I. General information

NPI: 1386409837
Provider Name (Legal Business Name): LIORA E BERNSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 MARTIN LUTHER KING JR AVE SE STE 300
WASHINGTON DC
20032-1542
US

IV. Provider business mailing address

3400 MARTIN LUTHER KING JR AVE SE STE 300
WASHINGTON DC
20032-1542
US

V. Phone/Fax

Practice location:
  • Phone: 202-724-7666
  • Fax:
Mailing address:
  • Phone: 202-724-7666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number229895
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLG200019050
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: