Bianca Deeb, LICSW
Individual provider Active NPI Clinical Social Worker · Winthrop, MA
NPI 1346512084 · NPPES record last updated Feb 10, 2021
Key facts
- NPI
- 1346512084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 117826 (MA)
- Practice address
- 57 Putnam St
Winthrop, MA 02152-2902 - Phone
- (603) 512-8040
- NPI assigned
- Jan 26, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 3, 2020 through Feb 3, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117826 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karuna Psychotherapy LLC | Clinical | Current | Accepting new patients |
Locations
57 Putnam St
Winthrop, MA 02152
Phone (617) 846-4553
57 Putnam St
Ste 4
Winthrop, MA 02152
Phone (617) 971-8335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 117826 | MA | Yes |
Addresses
Primary practice location
57 Putnam St
Winthrop, MA 02152-2902
Mailing address
30 Sargent St
Winthrop, MA 02152-2806
Phone (781) 234-4140
Other providers in Winthrop, MA
- Adicel Mario Dasilva
- David E. Eisenberg, M.D.
- Courtney Day
- Oscar De Tuya
- Jillian Dearville
- Maegen Brady Deleo
- Desai Associates
- Usha H Desai
- Nicola Dine
- Diversity and Awareness Counseling
All providers in Winthrop, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.