Active NPIIndividual providerSole proprietor

Shannon Bienkowski

Social Worker, Clinical in Charlotte, North Carolina

NPI Number1770020109
Practice location
5700 Executive Center Dr Ste 110, Charlotte, NC 28212-8833
Fax
—
Last updated
March 17, 2018

Shannon Bienkowski is a Social Worker, Clinical based in Charlotte, NC. Shannon Bienkowski practices in Charlotte, NC. The NPI Number for Shannon Bienkowski is 1770020109 and holds a License No. 009435 (CT). The current practice location address for Shannon Bienkowski is 5700 Executive Center Dr Ste 110, Charlotte, NC 28212-8833 and can be reached out via phone at 704-525-3255.

Provider Profile Details

NPI Number
1770020109
Provider Name
Shannon Bienkowski
Provider Entity Type
Individual
Gender
Female
Address
5700 Executive Center Dr Ste 110, Charlotte, NC 28212-8833
Phone Number
704-525-3255
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 24, 2017
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
5700 Executive Center Dr Ste 110
Charlotte, NC 28212-8833
Zip
28212-8833
Phone Number
704-525-3255
Charlotte, NC 28212Get directions →

Provider Business Mailing Address Details

Address
350 Pee Dee Ave
Suite 101
Albemarle, NC 28001
City
Albemarle
State
NC
Zip
28001
Phone Number
704-986-1545

License Information

License Number (1)
009435
License State (1)
CT
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
C010742
License State (2)
NC
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Charlotte, NC

View all Social Worker, Clinical providers in Charlotte →

Frequently Asked Questions

What is the NPI number of Shannon Bienkowski?

The NPI number of Shannon Bienkowski is 1770020109. It was assigned on January 24, 2017 and is currently active in the NPPES registry.

What is the specialty of Shannon Bienkowski?

Shannon Bienkowski is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 009435.

Where does Shannon Bienkowski practice?

The practice location is 5700 Executive Center Dr Ste 110, Charlotte, NC 28212-8833. The office can be reached at 704-525-3255 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770020109 directly on the NPPES registry website.

Browse related providers