Provider Demographics
NPI:1295564326
Name:BIANCO, ERIC MICHAEL (LMSW)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:MICHAEL
Last Name:BIANCO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 DARDEN RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-2218
Mailing Address - Country:US
Mailing Address - Phone:443-282-4448
Mailing Address - Fax:
Practice Address - Street 1:29315 ERICKSON DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-8651
Practice Address - Country:US
Practice Address - Phone:410-690-8181
Practice Address - Fax:410-690-8185
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD31577104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker