Active NPI
Thandi Blanding, LISW-CP
- Clinical Social Worker
- Dalzell, SC
National Provider Identifier
1053749176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9771
- Practice address
- 4565 Camden Hwy
Dalzell, SC 29040-9336 - Phone
- (803) 607-5024
- NPI assigned
- Oct 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9771 | SC | Primary |
Addresses
Primary practice location
4565 Camden Hwy
Dalzell, SC 29040-9336
Mailing address
4565 Camden Hwy
Dalzell, SC 29040-9336
Phone (803) 607-5024
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9771 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1053749176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4565 CAMDEN HWY",
"city": "DALZELL",
"state": "SC",
"postal_code": "290409336",
"telephone_number": "803-607-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 CAMDEN HWY",
"city": "DALZELL",
"state": "SC",
"postal_code": "290409336",
"telephone_number": "803-607-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANDING",
"first_name": "THANDI",
"name_prefix": "Ms.",
"credential": "LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "9771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalzell, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.