Bianca Rose Almeida Coles

Individual provider Active NPI Clinical Social Worker · Garner, NC

NPI 1265124101 · NPPES record last updated May 22, 2023

Key facts

NPI
1265124101
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P015162 (NC)
Practice address
310 New Fidelity CT
Garner, NC 27529-2665
Phone
(919) 803-8122
Fax
(919) 803-4764
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P015162NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Restoration Pathways Christian Counseling Clinical Current
since May 28, 2023
Accepting new patients
Hope and Restoration Pathways Current
since May 28, 2023
Accepting new patients

Locations

310 New Fidelity Ct
Garner, NC 27529
Phone (919) 793-6445

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P015162 NC Yes

Addresses

Primary practice location

310 New Fidelity CT
Garner, NC 27529-2665

Mailing address

3710 Exchange Glenwood PL Apt 205
Raleigh, NC 27612-4835
Phone (203) 451-3568

Other providers in Garner, NC

All providers in Garner, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.