Provider Demographics
NPI:1841057403
Name:BICIO, ELIZABETH E (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:E
Last Name:BICIO
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:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-0265
Mailing Address - Country:US
Mailing Address - Phone:860-866-8211
Mailing Address - Fax:
Practice Address - Street 1:38 E ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-6230
Practice Address - Country:US
Practice Address - Phone:860-866-8211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT39941041C0700X
NH32091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical