Stacy Renee Blankenship, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008411 Issued in NC

Practice address

206 High House Rd Ste 200
Cary, NC 27513-8496

Phone

(919) 678-0124

Fax

(919) 230-0127

NPI assigned

Jan 2, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043556541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 W COTTON GIN DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274585",
            "telephone_number": "919-946-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HIGH HOUSE RD STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138496",
            "telephone_number": "919-678-0124",
            "fax_number": "919-230-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 E Holding Ave",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275872904",
            "country_code": "US",
            "telephone_number": "919-263-9365 x2102",
            "fax_number": "919-552-4283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "STACY",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LISCENSURE BOARD",
            "identifier": "C008411",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomika A Bland
• Chelsea M Blango
• Celeste Rachel Blankenship, MS, PT
• Erin C Blankenship, DPT, OCS, CSCS
• Kathleen Jane Blankenship
• Julie Auker Blas, M.S., CCC-SLP
• Ryan Walkling Herndon Blazei, PHD
• Sharon Blinson, M.S.CCC-SLP
• Christine M. Bliss, OTR
• Danielle Marie Bliss, M.D., M.B.A.

• Clinical Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.