Individual provider Active NPI

Courtney Bianchi, LCSW-C

  • Clinical Social Worker
  • Edgewater, MD
National Provider Identifier
1831416759
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12568 Issued in MD
Practice address
137 Mitchells Chance Rd
#260
Edgewater, MD 21037-2787
Phone
(410) 956-5300
Fax
(410) 956-5301
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

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 12568 MD Primary

Addresses

Primary practice location

137 Mitchells Chance Rd
#260
Edgewater, MD 21037-2787

Mailing address

3175 W Ward Rd
# 200
Dunkirk, MD 20754-3020
Phone (410) 286-0664

Other names 1

  • Courtney Oconnell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000554 MD Practitioner - Clinical Social Worker 2466576368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

839 Elkridge Landing Rd
Suite 211
Linthicum, MD 21090-2946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12568MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Bianchi, LCSW-C, LLC CurrentSince Feb 15, 2016 Accepting new patients
Andrew T. Gergely, M.D.,L.C.C. Clinical Past Accepting new patients

Locations

839 Elkridge Landing Rd
Ste 211
Linthicum Heights, MD 21090
Phone (443) 354-8630

Organizations & group practices 2

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1831416759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 W WARD RD",
            "address_2": "# 200",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543020",
            "telephone_number": "410-286-0664",
            "fax_number": "410-286-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MITCHELLS CHANCE RD",
            "address_2": "#260",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372787",
            "telephone_number": "410-956-5300",
            "fax_number": "410-956-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHI",
        "first_name": "COURTNEY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "OCONNELL",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edgewater, MD

Sources for this page

Verify at the official NPI Registry.