MEDICARE: MRS. BIANCA MEANT MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW15163	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609398494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BIANCA MEANT MSW

Provider Business Mailing Address
First Line	:	1645 PALM BEACH LAKES BLVD STE 1200
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2214
Country	:	US
Telephone Number	:	561-257-1877
Fax Number	:

Provider Business Practice Location Address
First Line	:	4161 CARMICHAEL AVE STE 150
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-2349
Country	:	US
Telephone Number	:	904-475-5800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2017
Last Update Date	:	10/01/2024

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