Blanca Estela Phelps, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115928 Issued in CA

Practice address

2423 Camino del Rio S Ste 101
San Diego, CA 92108-3734

Phone

(619) 241-2309

NPI assigned

Mar 15, 2024

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 names 1

• Blanca Estela Gonzalez-Phelps Other name

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1104685841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670A BETA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921267056",
            "telephone_number": "832-567-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 CAMINO DEL RIO S STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083734",
            "telephone_number": "619-241-2309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Catalina Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921062838",
            "country_code": "US",
            "telephone_number": "619-241-2309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "BLANCA",
        "middle_name": "ESTELA",
        "name_prefix": "Ms.",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLANCA",
            "last_name": "GONZALEZ-PHELPS",
            "middle_name": "ESTELA",
            "credential": "ASW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kryschiana Pharr
• Phases Integration Program, LLC
• Amratha Phatak
• Carolyn H Phelan, OTRL CHT
• Kaitlin Phelan
• Christine Rose Phelps, LCSW
• James David Phelps, PSS
• Jenna Phelps, OTD
• Jennifer Marie Phelps, LMFT
• Pamela Campbell Phelps, NP - NURSE PRACTITIO

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Mar 15, 2024; 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.