Provider Demographics
NPI:1225234370
Name:BIZIER, STEVE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:
Last Name:BIZIER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 INGLESIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-8454
Mailing Address - Country:US
Mailing Address - Phone:617-304-8703
Mailing Address - Fax:
Practice Address - Street 1:9428 BAYMEADOWS RD
Practice Address - Street 2:STE 137
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7970
Practice Address - Country:US
Practice Address - Phone:904-710-7814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1140591041C0700X
FLSW114021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000484001Medicare Oscar/Certification