Individual provider Active NPI

Cheryl A Bianchi-Bigelow, LCSW-R,ACSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1811196330
Registry record updated Jul 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0342991 Issued in NY
Practice address
1501 East Ave
Suite104
Rochester, NY 14610-1657
Phone
(585) 232-3120
Fax
(585) 719-9148
NPI assigned
Jul 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2007

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 R0342991 NY Primary

Addresses

Primary practice location

1501 East Ave
Suite104
Rochester, NY 14610-1657

Mailing address

1501 East Ave
Suite104
Rochester, NY 14610-1657
Phone (585) 232-3120

Other identifiers 1

IdentifierTypeStateIssuer
7905358OtherTXAETNA PIN

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R0342991NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1811196330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 EAST AVE",
            "address_2": "SUITE104",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101657",
            "telephone_number": "585-232-3120",
            "fax_number": "585-719-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 EAST AVE",
            "address_2": "SUITE104",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101657",
            "telephone_number": "585-232-3120",
            "fax_number": "585-719-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHI-BIGELOW",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW-R,ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-14",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0342991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  PIN",
            "identifier": "7905358",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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.