Provider Demographics
NPI:1093932931
Name:BIANCO, KAREN NADEEN (LICSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:NADEEN
Last Name:BIANCO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 OLDE ENGLISH LN
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249-6563
Mailing Address - Country:US
Mailing Address - Phone:603-524-4706
Mailing Address - Fax:
Practice Address - Street 1:14 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6907
Practice Address - Country:US
Practice Address - Phone:603-524-5776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical