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BIANCA WHITNEY MSW
NPI 1285293530
Social Worker - Clinical in Madison, WI

Active since June 11, 2019PECOS Enrolled
3324 MILWAUKEE ST, MADISON, WI 53714(269) 762-2421 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2026, Jun 11, 2019 (2 updates tracked since 2019).

About Bianca Whitney Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIANCA WHITNEY MSW (NPI 1285293530) is an individual clinical provider in Madison, Wisconsin and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285293530
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBIANCA WHITNEYCredential: MSW
Location Address3324 MILWAUKEE STMadison, WI 53714-1866
Mailing Address3010 Union StMadison, WI 53714-1850 · (269) 762-2421
Phone(269) 762-2421
Sole ProprietorYes
Enumeration DateJune 11, 2019
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1285293530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3324 MILWAUKEE ST, Madison, WI 53714
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bianca Whitney Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bianca Whitney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avandra Mental Wellness LLC
0.3 mi
Clinical
3010 UNION ST
Madison, WI 53714
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
NPI 1336922558 (269) 762-2421

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TORI RAE BARTKOWIAK MSW, LCSW
Social Worker (Clinical)
3324 MILWAUKEE ST
MADISON, WI 53714
Dane County (608) 495-7444
KATRINA ROSE MOORE MSW, LCSW
Social Worker (Clinical)
3324 MILWAUKEE ST
MADISON, WI 53714
Dane County (608) 843-4604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bianca Whitney's NPI number?

The NPI number for Bianca Whitney is 1285293530. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Bianca Whitney located?

Bianca Whitney practices at 3324 Milwaukee St, Madison, WI 53714. The listed phone number is (269) 762-2421.

What is Bianca Whitney's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Bianca Whitney enrolled in Medicare?

Yes. Bianca Whitney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bianca Whitney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bianca Whitney reassigns Medicare benefits to Avandra Mental Wellness LLC (Madison, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bianca Whitney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bianca Whitney accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and UnitedHealthcare list Bianca Whitney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bianca Whitney was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.