Healthcare Provider Details

I. General information

NPI: 1013463496
Provider Name (Legal Business Name): MARIA BICK LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. MARIA LAZARENKO

II. Dates (important events)

Enumeration Date: 08/26/2016
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 SAGAMORE AVE
PORTSMOUTH NH
03801
US

IV. Provider business mailing address

1145 SAGAMORE AVE
PORTSMOUTH NH
03801-5585
US

V. Phone/Fax

Practice location:
  • Phone: 603-431-6703
  • Fax:
Mailing address:
  • Phone: 603-431-6703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2870
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: