Provider Demographics
NPI:1053429332
Name:BERNIER, ALLISON L (LICSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:BERNIER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:L
Other - Last Name:SEBASTIAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:455 TOLLGATE RD
Mailing Address - Street 2:PROFESSIONAL REVENUE CYCLE AND CREDENTIALING
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-273-0641
Mailing Address - Fax:401-273-2919
Practice Address - Street 1:520 HOPE ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2532
Practice Address - Country:US
Practice Address - Phone:401-276-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1253881041C0700X
RIISW019261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1104847946OtherTHE PROVIDENCE CENTER NPI
RI1053429332OtherBLUE CHIP
RI1053429332OtherUBH
RI1104847946OtherTHE PROVIDENCE CENTER NPI
RI1053429332OtherBLUE CROSS
RI1053429332OtherBLUE CHIP