BERNADETTE L. BRENNECKE, LCSW, INC.
NPI 1902121940
Counselor - Mental Health in La Verne, CA

Active since April 01, 2010
4574 LIVE OAK CANYON ROAD, LA VERNE, CA 91750(909) 263-0851(626) 338-9022 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bernadette L. Brennecke, Lcsw, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNADETTE L. BRENNECKE, LCSW, INC. (NPI 1902121940) is a healthcare organization registered as a mental health in La Verne, California and active in the NPI registry since April 2010. The organization lists Greg Petropoulos, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1902121940
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBERNADETTE L. BRENNECKE, LCSW, INC.
Location Address4574 LIVE OAK CANYON ROADLa Verne, CA 91750
Mailing Address640 S. Sunset Ave, Suite 102West Covina, CA 91790 · (909) 263-0851 · Fax (626) 338-9022
Fax(626) 338-9022
Organization SubpartNo
Authorized OfficialGreg PetropoulosOwner/therapist · (909) 263-0934
Enumeration DateApril 1, 2010
Last NPPES UpdateMarch 6, 2024
NPI 1902121940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · MFC 37681
4574 LIVE OAK CANYON ROAD, La Verne, CA 91750

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernadette L. Brennecke, Lcsw, Inc.'s NPI number?

The NPI number for Bernadette L. Brennecke, Lcsw, Inc. is 1902121940. It was assigned to this organization in the NPPES registry on April 1, 2010.

Where is Bernadette L. Brennecke, Lcsw, Inc. located?

Bernadette L. Brennecke, Lcsw, Inc. is located at 4574 Live Oak Canyon Road, La Verne, CA 91750. The listed phone number is (909) 263-0851.

What is Bernadette L. Brennecke, Lcsw, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bernadette L. Brennecke, Lcsw, Inc. was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.