Healthcare Provider Details

I. General information

NPI: 1265573943
Provider Name (Legal Business Name): JAMES C BERNIER LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

293 GOVERNOR ST
PROVIDENCE RI
02906-3220
US

IV. Provider business mailing address

181 WILLIAMS ST
CUMBERLAND RI
02864-7120
US

V. Phone/Fax

Practice location:
  • Phone: 401-273-5434
  • Fax:
Mailing address:
  • Phone: 401-722-2498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW00073
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberISW00073
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: