Provider Demographics
NPI:1427569375
Name:BIEN, MELANIE BIANCA (LCSW)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:BIANCA
Last Name:BIEN
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 1:57 DORLAND ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-1012
Mailing Address - Country:US
Mailing Address - Phone:415-577-0383
Mailing Address - Fax:415-822-3838
Practice Address - Street 1:2401 KEITH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-3231
Practice Address - Country:US
Practice Address - Phone:415-671-7089
Practice Address - Fax:415-822-3838
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA647871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty