Organization Active NPI

Courtney Bianchi, LCSW-C, LLC

  • Point of Service
  • Linthicum, MD
National Provider Identifier
1902269814
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
12568 Issued in MD
Legal business name
COURTNEY BIANCHI, LCSW-C, LLC
Practice address
1190 Winterson Rd
Suite 160
Linthicum, MD 21090-2209
Phone
(443) 354-8630
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Mrs. Courtney Bianchi, LCSW-CNPI 1831416759
Title
Clinical Social Worker
Phone
(443) 354-8630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 12568 MD Primary

Addresses

Primary practice location

1190 Winterson Rd
Suite 160
Linthicum, MD 21090-2209

Mailing address

1190 Winterson Rd
Suite 160
Linthicum, MD 21090-2209
Phone (443) 790-0149

Other names 1

  • Courtney Bianchi Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160428001393 MD Part B Supplier - Clinic/Group Practice 2466751227 Receives reassigned benefits from 1 practitioner
Practice locations: Linthicum, MD

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1902269814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 WINTERSON RD",
            "address_2": "SUITE 160",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902209",
            "telephone_number": "443-790-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WINTERSON RD",
            "address_2": "SUITE 160",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902209",
            "telephone_number": "443-354-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY BIANCHI, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "BIANCHI",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "443-354-8630",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MD",
            "license": "12568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtney Bianchi",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Linthicum, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.