Active NPI
Joanna Bienko
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1356590574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016066
- Practice address
- 5515 Wissahickon Ave
Apt D.403
Philadelphia, PA 19144-4554 - Phone
- (215) 205-3421
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CW016066 | PA | |
| Clinical Social Worker | 1041C0700X | CW016066 | PA | Primary |
Addresses
Primary practice location
5515 Wissahickon Ave
Apt D.403
Philadelphia, PA 19144-4554
Mailing address
5515 Wissahickon Ave
Apt D.403
Philadelphia, PA 19144-4554
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1356590574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 WISSAHICKON AVE",
"address_2": "APT D.403",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 WISSAHICKON AVE",
"address_2": "APT D.403",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444554",
"telephone_number": "215-205-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIENKO",
"first_name": "JOANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "CW016066",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.