Provider Demographics
NPI:1437846243
Name:BIANCHI, MICHELLE MARIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:MARIE
Last Name:BIANCHI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:FERRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NSW
Mailing Address - Street 1:2590 SW 14TH CT
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-6055
Mailing Address - Country:US
Mailing Address - Phone:954-579-7089
Mailing Address - Fax:
Practice Address - Street 1:2590 SW 14TH CT
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-6055
Practice Address - Country:US
Practice Address - Phone:954-579-7089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW173561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical