Jennifer Blandford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106755 Issued in TX

Practice address

2404 Canyon Wren LN
Fort Worth, TX 76244-2209

Phone

(630) 618-8887

NPI assigned

Feb 7, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tiller Counseling LLC

  • Professional Counselor
  • Saint Charles, IL
  • NPI 1861930281
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1013455385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 CANYON WREN LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762442209",
            "telephone_number": "312-806-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 CANYON WREN LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762442209",
            "telephone_number": "630-618-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDFORD",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence D Blanchard, M.D.
• Michelle Blanchard, FNP-BC
• Sonji M Blanchard
• Rachel Blanchette, LCSW, CCM
• Amy Elizabeth Blancke, AGACNP
• Karen Blandino, LPC
• Danielle Blankenship, PT, DPT
• Derek Blankenship, M.D.
• Garret Lane Blankenship, PSYD
• Jarrett Blankenship

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.