Emily Blank

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW80486 Issued in CA

Practice address

31165 Temecula Pkwy Ste G3
Temecula, CA 92592-2908

Phone

(626) 404-4041

Fax

(951) 595-7386

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1053442053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31165 TEMECULA PKWY",
            "address_2": "SUITE G3 PMB 1035",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922908",
            "telephone_number": "626-404-4041",
            "fax_number": "951-595-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31165 TEMECULA PKWY STE G3",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922908",
            "telephone_number": "626-404-4041",
            "fax_number": "951-595-7386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 east fouth st.",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053818",
            "country_code": "US",
            "telephone_number": "626-543-5437 x1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANK",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW80486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen G Black, LMFT
• Van Allen Black Jr.
• Katherine Marie Maclay Blackwell, LMFT
• Stephanie Blair, BCBA
• Blank Psychological Services, Inc.
• Jeremy Blank, PSY.D.
• Hannah Bledsoe, RBT
• Imani Blevins
• Jessica Marie-Pedroza Blevins, LMFT, ATR
• Brooke Lorraine Blomberg

• Clinical Social Worker in Temecula, CA
• Providers in Temecula, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.