Provider Demographics
NPI:1962011296
Name:ACRI, BIANCA M (LCSW)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:M
Last Name:ACRI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 REVIVAL RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-3533
Mailing Address - Country:US
Mailing Address - Phone:718-877-4006
Mailing Address - Fax:
Practice Address - Street 1:925 NUTSWAMP RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-3810
Practice Address - Country:US
Practice Address - Phone:732-671-5795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-22
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
NJ44SC06266100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker