Provider Demographics
NPI:1639230337
Name:MADELEINE L. BIASIELLO INC.
Entity Type:Organization
Organization Name:MADELEINE L. BIASIELLO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MADELEINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BIASIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-571-8845
Mailing Address - Street 1:2221 PRIOR RD
Mailing Address - Street 2:APT F
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-1149
Mailing Address - Country:US
Mailing Address - Phone:302-792-5857
Mailing Address - Fax:302-571-8841
Practice Address - Street 1:1200 N VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4313
Practice Address - Country:US
Practice Address - Phone:302-571-8846
Practice Address - Fax:302-571-8841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ10000196251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health