Bianca Cabanas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

109291 Issued in CA

Practice address

7048 Balcom Ave
Reseda, CA 91335-4805

Phone

(310) 920-5822

NPI assigned

Jul 29, 2022

Last updated

Jul 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Casa Bella Sober Living - West, LLC

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1578084679
  NPD (past)

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1629704747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12410",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902953410",
            "telephone_number": "310-920-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 BALCOM AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354805",
            "telephone_number": "310-920-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANAS",
        "first_name": "BIANCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bianca@cbrecoveryservices.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Casa Bella Sober Living - West, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1937 Federal Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900255415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Buonora Development, Inc (Buonora Child Development Center)
• Dawn Ruth Buratti, D.P.M.
• Thomas Jacob Butkovich, PTA
• Vince Jude Buyco
• Elizabeth Ruth Caballero
• Heidy Jocelyn Caceres
• Salvador Calderon Alcala
• Cali Med Corporation
• California Dream Assisted Living
• California Homecare Agency LLC

• Clinical Social Worker in Reseda, CA
• Providers in Reseda, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.