Individual provider Active NPI

Michael Lobianco, MSW, LCSW

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1538358536
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW016139 Issued in PA
Practice address
230 S Broad St
Suite 905
Philadelphia, PA 19102-4121
Phone
(215) 408-4462
Fax
(215) 408-4463
NPI assigned
Oct 16, 2007
Last updated
Mar 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW016139 PA Primary

Addresses

Primary practice location

230 S Broad St
Suite 905
Philadelphia, PA 19102-4121

Mailing address

230 S Broad St
Suite 905
Philadelphia, PA 19102-4121
Phone (215) 408-4462

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians PastSince Aug 17, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1538358536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S BROAD ST",
            "address_2": "SUITE 905",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024121",
            "telephone_number": "215-408-4462",
            "fax_number": "215-408-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BROAD ST",
            "address_2": "SUITE 905",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024121",
            "telephone_number": "215-408-4462",
            "fax_number": "215-408-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBIANCO",
        "first_name": "MICHAEL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW016139",
            "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 Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.