Active NPI
Victor Vito Bianco, LCSW
- Clinical Social Worker
- Little Neck, NY
National Provider Identifier
1093235608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24055-R
- Practice address
- 24920 57TH Ave
Little Neck, NY 11362-2057 - Phone
- (917) 680-9052
- Fax
- (718) 352-2706
- NPI assigned
- Jun 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24055-R | NY | Primary |
Addresses
Primary practice location
24920 57TH Ave
Little Neck, NY 11362-2057
Mailing address
24920 57TH Ave
Little Neck, NY 11362-2057
Phone (917) 680-9052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24055-R | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093235608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24920 57TH AVE",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622057",
"telephone_number": "917-680-9052",
"fax_number": "718-352-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24920 57TH AVE",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622057",
"telephone_number": "917-680-9052",
"fax_number": "718-352-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCO",
"first_name": "VICTOR",
"middle_name": "VITO",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "24055-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.