MEDICARE: MAREN ANGELIQUE NOELLE BERNIER

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	ASW134793	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285593541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAREN ANGELIQUE NOELLE BERNIER

Provider Business Mailing Address
First Line	:	3340 KEMPER ST STE 105
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4907
Country	:	US
Telephone Number	:	619-523-8121
Fax Number	:

Provider Business Practice Location Address
First Line	:	3340 KEMPER ST STE 105
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4907
Country	:	US
Telephone Number	:	619-523-8121
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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