Marian R Bideaux

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW003132L Issued in PA

Practice address

996 S Main St Ste 102
Meadville, PA 16335-3204

Phone

(814) 078-0487

Fax

(888) 538-2885

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shannon Deets Counseling LLC

  • Professional Counselor
  • Meadville, PA
  • NPI 1275950693

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1205938008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 S MAIN ST STE 102",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353204",
            "telephone_number": "814-078-0487",
            "fax_number": "888-538-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 S MAIN ST STE 102",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353204",
            "telephone_number": "814-078-0487",
            "fax_number": "888-538-2885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163354403",
            "country_code": "US",
            "telephone_number": "814-336-6308",
            "fax_number": "814-337-6067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDEAUX",
        "first_name": "MARIAN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW003132L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenton James Bertram, D.C.
• Bethesda Childrens Home/LSS
• Bethesda Childrens Home/LSS
• Lezlee Dionne Betts, LCSW
• Amy Jolene Bevacqua, DPT
• Kelly Kae Bidwell, LCSW
• Cinda R Bilinski, LPC
• Barry Barnett Bittman, M.D.
• Monique Y Bivins, LPC
• Robert Lee Black III, PA-C

• Clinical Social Worker in Meadville, PA
• Providers in Meadville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.