Provider Demographics
NPI:1326736570
Name:BIDDLE, COURTNEY JANELLE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:JANELLE
Last Name:BIDDLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:COURTNEY
Other - Middle Name:JANELLE
Other - Last Name:COMFORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:331 JOHNSON HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MILLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14864-9752
Mailing Address - Country:US
Mailing Address - Phone:607-378-7384
Mailing Address - Fax:
Practice Address - Street 1:832 HANSHAW RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1548
Practice Address - Country:US
Practice Address - Phone:607-793-4260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116310104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker