Fiora Pizzo Lcsw Counseling Llc | |
101 W Kirkwood Ave Ste. 222 Bloomington IN 47404-6129 | |
(812) 219-9336 | |
(812) 676-9351 |
Full Name | Fiora Pizzo Lcsw Counseling Llc |
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Speciality | Social Worker |
Location | 101 W Kirkwood Ave, Bloomington, Indiana |
Authorized Official Name and Position | Fiora G Pizzo (TIN OWNER / PRACTITIONER) |
Authorized Official Contact | 8122199336 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fiora Pizzo Lcsw Counseling Llc 101 W Kirkwood Ave Ste. 222 Bloomington IN 47404-6129 Ph: (812) 219-9336 | Fiora Pizzo Lcsw Counseling Llc 101 W Kirkwood Ave Ste. 222 Bloomington IN 47404-6129 Ph: (812) 219-9336 |
NPI Number | 1922534221 |
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Provider Enumeration Date | 05/04/2017 |
Last Update Date | 05/04/2017 |
Medicare PECOS PAC ID | 1355614140 |
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Medicare Enrollment ID | O20170829004261 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922534221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Fiora G Pizzo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053699058 PECOS PAC ID: 0446420491 Enrollment ID: I20110830000257 |
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