Individual
MRS. BERNADETTE CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2061 FAIRVIEW AVE, EASTON, PA 18042-3953
(610) 923-0412
(610) 923-5188
Mailing address
2061 FAIRVIEW AVE, EASTON, PA 18042-3953
(610) 923-0412
(610) 923-5188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW000198L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01997701
CAPITAL BLUE CROSS
PA
01
—
0475510000
INDEPENDENCE BLUE CROSS
PA
01
—
117008
VALUE OPTIONS
PA
01
—
B0644744
HIGHMARK BS (FEP)
PA
Enumeration date
07/26/2006
Last updated
07/08/2007
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