Provider Demographics
NPI:1134321862
Name:BIANCHI-WOOD, VALERI ELIZABETH (LCSW)
Entity Type:Individual
Prefix:
First Name:VALERI
Middle Name:ELIZABETH
Last Name:BIANCHI-WOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 N WALSH ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-4268
Mailing Address - Country:US
Mailing Address - Phone:775-887-1313
Mailing Address - Fax:775-887-0466
Practice Address - Street 1:407 N WALSH ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-4268
Practice Address - Country:US
Practice Address - Phone:775-887-1313
Practice Address - Fax:775-887-0466
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00869C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCSW869CMedicare ID - Type Unspecified