Charlee Bianchini, MSW
Individual provider Active NPI Social Worker · Gloucester, MA
NPI 1831829779 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1831829779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 3 Blackburn Ctr
Gloucester, MA 01930-2268 - Phone
- (978) 335-6418
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241213000148 | MA | Practitioner - Clinical Social Worker | 9537695564 | Practice locations: Gloucester, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite Cove, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
3 Blackburn Ctr
Gloucester, MA 01930-2268
Mailing address
110 Boston St
Salem, MA 01970-1402
Other providers in Gloucester, MA
- Jenny Sarah Bernstein Rangan
- Angelo Anthony Bertolino Jr.
- Jessica Bertozzi
- Beth Israel Lahey Health Primary Care, Inc.
- Beth Israel Lahey Health Specialty Care, Inc.
- Alexandria Beverly Biberger
- Matina Theresa Lynn Billante
- Sarah Eileen Binari
- Nicholas Davenport Biscardi
- Elizabeth Ann Bish
All providers in Gloucester, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.