Bianca Lana Hallmon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007374 Issued in GA

Practice address

1974 Crosswaters Dr
Dacula, GA 30019-1711

Phone

(404) 247-3751

NPI assigned

Oct 4, 2018

Sex

Female

Sole proprietor

Yes

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.

• Beauty in Mind Therapy

  • Clinical Social Worker
  • Dacula, GA
  • NPI 1902668627

  Clinical, GA

  Medicare reassignment NPD Authorized official
• Beauty in Mind Therapy LLC

  • Clinical Social Worker
  • Dacula, GA
  • NPI 1609635655

  Clinical

  NPD Authorized official

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

• Bianca Lana Burrell Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2024.

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1265907448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1431",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300190025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 CROSSWATERS DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191711",
            "telephone_number": "404-247-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMON",
        "first_name": "BIANCA",
        "middle_name": "LANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "007957",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "007374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "BURRELL",
            "middle_name": "LANA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gwinnett Orthopedics PC
• Philomena Gyamfi, RN
• Ebad Habeeb, DMD
• Andrea Regina Hall, LPN
• Bonnie Bosman Hall, MASTERS EDUCATION
• Katherine Hamblin, PT, DPT
• Tamara Hambrick, LCSW
• Hamilton Mill Dental Center, LLC
• Hamilton Mill Family Chiropractic
• Hamilton Mill Family Complete Care

• All providers in Dacula, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.