Provider Demographics
NPI:1679523211
Name:BERNING, SHEILA STAYART (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:STAYART
Last Name:BERNING
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76503
Mailing Address - Country:US
Mailing Address - Phone:254-773-9984
Mailing Address - Fax:254-773-7902
Practice Address - Street 1:616 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76503-0204
Practice Address - Country:US
Practice Address - Phone:254-773-9984
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical