Provider Demographics
NPI:1679058333
Name:BIEBERS, CAROL LILANNE (LICSW)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LILANNE
Last Name:BIEBERS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 GREAT RD APT 8
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-4023
Mailing Address - Country:US
Mailing Address - Phone:978-621-6239
Mailing Address - Fax:
Practice Address - Street 1:161 WORCESTER RD STE 409
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5300
Practice Address - Country:US
Practice Address - Phone:800-648-9557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1076471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical