Stephanie Pamela Bianchini, LCSW

Individual provider Active NPI Clinical Social Worker · Hanover, MA

NPI 1780101428 · NPPES record last updated Apr 20, 2024

Key facts

NPI
1780101428
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CW021700 (PA)
Practice address
1100 Washington St Ste 8
Hanover, MA 02339-1662
Phone
(215) 792-4138
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
125371MAMDClinical Social Worker
CW021700PAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 125371 MA
Clinical Social Worker 1041C0700X CW021700 PA Yes

Addresses

Primary practice location

1100 Washington St Ste 8
Hanover, MA 02339-1662

Mailing address

59 Indian Wind Dr
Scituate, MA 02066-3025
Phone (339) 236-1104

Other practice location 1

59 Indian Wind Dr
Scituate, MA 02066-3025
Phone (339) 236-1104

Other providers in Hanover, MA

All providers in Hanover, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.