Individual provider Active NPI

Bianca Meant, MSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1609398494
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15163 Issued in FL
Practice address
4161 Carmichael Ave Ste 150
Jacksonville, FL 32207-2349
Phone
(904) 475-5800
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW15163 FL Primary

Addresses

Primary practice location

4161 Carmichael Ave Ste 150
Jacksonville, FL 32207-2349

Mailing address

1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214
Phone (561) 257-1877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180410000350 FL Practitioner - Clinical Social Worker 3779846514 Reassigns benefits to 1 organization
I20200424001365 MA Practitioner - Clinical Social Worker 3779846514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ultima Rehab-FL LLC CurrentSince May 29, 2019 Accepting new patients
Boston University Psychiatry Associates, Inc. CurrentSince Apr 23, 2020 Accepting new patients

Locations

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

85 East Newton St
Ste 905
Boston, MA 02118
Phone (617) 414-5245

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1609398494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 PALM BEACH LAKES BLVD STE 1200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012214",
            "telephone_number": "561-257-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 CARMICHAEL AVE STE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072349",
            "telephone_number": "904-475-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEANT",
        "first_name": "BIANCA",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.