Provider Demographics
NPI:1902046634
Name:GOUVEIA SINGH, BERNADETTE CORENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BERNADETTE
Middle Name:CORENE
Last Name:GOUVEIA SINGH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 NW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4626
Mailing Address - Country:US
Mailing Address - Phone:954-594-9106
Mailing Address - Fax:
Practice Address - Street 1:5020 NW 42ND ST
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-4626
Practice Address - Country:US
Practice Address - Phone:954-594-9106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 78891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical