MEDICARE: BIANKA DECILIA

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	P023551	NC

General Provider Information

NPI Number	:	1487592242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANKA DECILIA

Provider Business Mailing Address
First Line	:	7204 PEBBLEBROOK DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-5232
Country	:	US
Telephone Number	:	910-853-9942
Fax Number	:

Provider Business Practice Location Address
First Line	:	6450 CLIFFDALE RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-2099
Country	:	US
Telephone Number	:	910-864-3442
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ BIANKA DECILIA ” Practice Location

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