Individual provider Active NPI

Blanche Mary Ridgley, PH.D

  • Clinical Social Worker
  • Kayenta, AZ
National Provider Identifier
1033510292
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103 Issued in WY
Practice address
Highway 160 M.P. 394.3
Kayenta, AZ 68033
Phone
(928) 697-4194
NPI assigned
Sep 8, 2014
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103 WY Primary

Addresses

Primary practice location

Highway 160 M.P. 394.3
Kayenta, AZ 68033

Mailing address

PO Box 368
Counseling Service
Kayenta, AZ 86033-0368
Phone (602) 967-4194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
103WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kayenta Alternative Rural Hospital Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1033510292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "address_2": "COUNSELING SERVICE",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "602-967-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 160 M.P. 394.3",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "68033",
            "telephone_number": "928-697-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGLEY",
        "first_name": "BLANCHE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kayenta, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.