MEDICARE: MR. STEVE BIZIER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	114059	MA
2	1041C0700X	Clinical Social Worker	SW11402	FL

General Provider Information

NPI Number	:	1225234370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVE BIZIER LCSW

Provider Business Mailing Address
First Line	:	1532 INGLESIDE AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-8454
Country	:	US
Telephone Number	:	617-304-8703
Fax Number	:

Provider Business Practice Location Address
First Line	:	9428 BAYMEADOWS RD
Second Line	:	STE 137
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7970
Country	:	US
Telephone Number	:	904-710-7814
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	01/26/2017

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