Jennifer Blandon
Individual provider Active NPI Clinical Social Worker · View Park, CA
NPI 1013370683 · NPPES record last updated Oct 3, 2016
Key facts
- NPI
- 1013370683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 71949 (CA)
- Practice address
- 3751 Stocker St
View Park, CA 90008-5101 - Phone
- (323) 298-3680
- NPI assigned
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71949 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 71949 | CA | Yes |
Addresses
Primary practice location
3751 Stocker St
View Park, CA 90008-5101
Mailing address
818 E 90TH St
Los Angeles, CA 90002-1614
Other providers in View Park, CA
- Kristal Alexis Audoma
- Sydney Baker
- Reynaldo Barnes
- Nancy Altamar Benson
- Tierra Bent
- Brittany V Richardson Licensed Clincial Social Worker Inc
- Brittany V. Richardson, Licensed Clinical Social Worker, Inc.
- Brittney Penamon Rdhap Corporation
- Lynette Maria Broussard-Walker
- Maria F Buelna-Miranda
All providers in View Park, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.