Provider Demographics
NPI:1437661543
Name:BIASI, RITA JEAN (MSW)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:JEAN
Last Name:BIASI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WAPELLO ST
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-4440
Mailing Address - Country:US
Mailing Address - Phone:626-616-5684
Mailing Address - Fax:
Practice Address - Street 1:129 WAPELLO ST
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-4440
Practice Address - Country:US
Practice Address - Phone:626-616-5684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-30
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4395-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker