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General NPI Number Information
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NPI Number | 1164292967
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Entity Type | Individual
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Provider Name | NICOLE BERNARDI LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 9142 W 88TH CIR
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City | WESTMINSTER
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State | CO
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Zip | 80021-4470
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Country | US
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Telephone | 856-470-7075
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Fax |
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Provider Business Mailing Address
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Address Line | 2695 STATE ST STE 100
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City | CARLSBAD
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State | CA
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Zip | 92008-1627
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09929800
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License Number State | CO
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