Individual
MS. JILL BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LMHC
Contact information
Practice address
84 HIGH STREET, SUITE A8, MEDFORD, MA 02155-3819
(781) 391-6222
(781) 391-6119
Mailing address
84 HIGH STREET, SUITE A8, MEDFORD, MA 02155-3819
(781) 391-6222
(781) 391-6119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
606
MA
104100000X
Social Worker
Primary
200207
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12A215641000
MBC
—
01
—
318040
MBC
—
01
—
6217025
UNITED HEALTHCARE
—
01
—
723061
TUFTS
—
01
—
LM0172
BCBS
—
Enumeration date
10/13/2006
Last updated
09/11/2025
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