Doctor Name: | LISA E BIANCHI |
NPI Number: | 1235444662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 007308 |
Business Practice Address: | 163 Main St Wethersfield, CT - 061092339 |
Business Phone Number: | 8604714717 |
Business Fax Number: | |
Mailing Address: | 101 Blue Grass Ct, ROCKY HILL |
State: | CT |
Postal Code: | 060673252 |
Phone Number: | 8602570034 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2010 |
NPI Last Update Date: | 10/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 007308 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |