MEDICARE: KIANA MARIE BISHOP-LONDY

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

General Provider Information

NPI Number	:	1538855044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIANA MARIE BISHOP-LONDY

Provider Business Mailing Address
First Line	:	1301 E ORANGEWOOD AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-6807
Country	:	US
Telephone Number	:	800-249-1266
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 CENTRE ST # 1
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-5197
Country	:	US
Telephone Number	:	800-249-1255
Fax Number	:

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

Provider Enumeration Date	:	04/17/2023
Last Update Date	:	06/04/2026

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Directions to “ KIANA MARIE BISHOP-LONDY ” Practice Location

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