Individual provider Active NPI

Bianca Botha Passarelli, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1740841253
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW92674 Issued in CA
Practice address
2151 College Ave
Bakersfield, CA 93305-4113
Phone
(661) 868-8080
NPI assigned
Jun 25, 2019
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW73247 CA
Clinical Social Worker 1041C0700X LCSW92674 CA Primary

Addresses

Primary practice location

2151 College Ave
Bakersfield, CA 93305-4113

Mailing address

PO Box 1000
Bakersfield, CA 93302-1000
Phone (661) 868-8129

Other practice location 1

2001 28th St
Bakersfield, CA 93301-1924
Phone (661) 868-6802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414000424 CA Practitioner - Clinical Social Worker 8022404318 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW73247CAMDSocial Worker
LCSW92674CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
County of Kern Social Worker CurrentSince Mar 7, 2022 Accepting new patients
County of Kern Social Worker CurrentSince Mar 7, 2022 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jan 1, 2023 Accepting new patients
County of Kern Social Worker Current Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jan 1, 2023 Accepting new patients

Locations

2001 28th St
Bakersfield, CA 93301
Phone (661) 868-7550

2151 College Ave
Bakersfield, CA 93305
Phone (661) 868-8080

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

Organizations & group practices 6

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1740841253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021000",
            "telephone_number": "661-868-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 COLLEGE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054113",
            "telephone_number": "661-868-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 28th St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933011924",
            "country_code": "US",
            "telephone_number": "661-868-6802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSARELLI",
        "first_name": "BIANCA",
        "middle_name": "BOTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW73247",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW92674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.