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NPI Code Detail

MEDICARE: C. SUZANNE BIERER LCSW-C

MEDICARE: C. SUZANNE BIERER LCSW-C
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
11041C0700XClinical Social Worker08249MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1381468OTHERMDMAMSI
2QD19OTHERMDCAREFIRST BCBS
3PVPB119809OTHERMDAMERICAN PSYCH SYSTEMS

General Provider Information

NPI Number : 1770795700
Entity Type Code : Individual
Provider Name (Legal Business Name) : C. SUZANNE BIERER LCSW-C
Provider Business Mailing Address
First Line : 5717 HARPERS FARM RD UNIT C
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2297
Country : US
Telephone Number : 410-992-5431
Fax Number :
Provider Business Practice Location Address
First Line : 3355 SAINT JOHNS LN STE F
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-2600
Country : US
Telephone Number : 410-312-9930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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