Active NPI
Bianca Chabla, LSW
- Social Worker
- Eatontown, NJ
National Provider Identifier
1124795158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06870800
- Practice address
- 615 Hope Rd Ste 5B
Eatontown, NJ 07724-1273 - Phone
- (732) 389-0697
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06870800 | NJ | Primary |
Addresses
Primary practice location
615 Hope Rd Ste 5B
Eatontown, NJ 07724-1273
Mailing address
564 Duchess CT
Toms River, NJ 08753-4517
Phone (908) 447-5555
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 |
|---|---|---|---|
| 44SL06870800 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1124795158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 DUCHESS CT",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087534517",
"telephone_number": "908-447-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 HOPE RD STE 5B",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241273",
"telephone_number": "732-389-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHABLA",
"first_name": "BIANCA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06870800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.