Active NPI
Karen Blanco
- Social Worker
- San Francisco, CA
National Provider Identifier
1013457555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW112996
- Practice address
- 1757 Waller St
San Francisco, CA 94117-2727 - Phone
- (415) 668-0494
- Fax
- (415) 386-0959
- NPI assigned
- Mar 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | ASW112996 | CA | Primary |
| Counselor | 101Y00000X | ASW112996 | CA |
Addresses
Primary practice location
1757 Waller St
San Francisco, CA 94117-2727
Mailing address
1757 Waller St
San Francisco, CA 94117-2727
Phone (415) 668-0494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260507002504 | CA | Order and Referring Only - Clinical Social Worker | 6204304272 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW112996 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe & Sound | Past | Accepting new patients | |
| Safe & Sound | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1124341177
-
- Marriage & Family Therapist
- San Francisco, CA
- NPI 1689929598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1013457555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1757 WALLER ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172727",
"telephone_number": "415-668-0494",
"fax_number": "415-386-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1757 WALLER ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172727",
"telephone_number": "415-668-0494",
"fax_number": "415-386-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "KAREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW112996",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "ASW112996",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.