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NPI Code Detail

MEDICARE: DEONNE J VARRIANO LICSW

MEDICARE: DEONNE J VARRIANO LICSW
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 WorkerND 751ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1016084OTHERNDBCBS OF ND PIN

General Provider Information

NPI Number : 1053348573
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEONNE J VARRIANO LICSW
Provider Business Mailing Address
First Line : 2624 9TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58103-2350
Country : US
Telephone Number : 701-298-4500
Fax Number : 701-298-4400
Provider Business Practice Location Address
First Line : 2624 9TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58103-2350
Country : US
Telephone Number : 701-298-4500
Fax Number : 701-298-4400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/08/2007

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Directions to “ DEONNE J VARRIANO LICSW” Practice Location

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