David Blondeau
Individual provider Active NPI Social Worker · Simpsonville, SC
NPI 1144360603 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144360603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 3096 (SC)
- Practice address
- 20 Powderhorn Rd
Simpsonville, SC 29681-3399 - Phone
- (864) 963-3421
- Fax
- (864) 962-0758
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3096 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past |
Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3096 | SC | Yes |
Addresses
Primary practice location
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Mailing address
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone (864) 963-3421
Other providers in Simpsonville, SC
- Christina L Blake
- Haley Elise Blake
- Amanda Blanton
- Benjamin Allen Blanton
- Melody Garner Blighton
- Terry J. Blum Haas
- Bodhi Psychotherapy and Consulting, LLC
- Cynthia Bodway
- Regina Ann Boger
- Bon Secours Medical Group Greenville Specialty Care LLC
All providers in Simpsonville, SC · Social Worker in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.