Provider Demographics
NPI:1023113867
Name:BIERMAN, ROBERT (LCSW)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:BIERMAN
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 1:100 S BROAD ST
Mailing Address - Street 2:SUITE 1945
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19110-1023
Mailing Address - Country:US
Mailing Address - Phone:215-496-1080
Mailing Address - Fax:215-496-1080
Practice Address - Street 1:100 S BROAD ST
Practice Address - Street 2:SUITE 1945
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1023
Practice Address - Country:US
Practice Address - Phone:215-496-1080
Practice Address - Fax:215-496-1080
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW009703-L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABI706909Medicare ID - Type Unspecified