Individual provider Active NPI

Nancy Blaich, LCSW

  • Clinical Social Worker
  • Corpus Christi, TX
National Provider Identifier
1144480807
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27736 Issued in TX
Practice address
5633S Staples St 700
Corpus Christi, TX 78411-4679
Phone
(361) 814-2001
Fax
(361) 883-1998
NPI assigned
Jun 16, 2008
Last updated
Sep 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27736 TX Primary

Addresses

Primary practice location

5633S Staples St 700
Corpus Christi, TX 78411-4679

Mailing address

5633S Staples St 700
Corpus Christi, TX 78411-4679
Phone (361) 814-2001

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
27736TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1144480807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633S STAPLES ST 700",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114679",
            "telephone_number": "361-814-2001",
            "fax_number": "361-883-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633S STAPLES ST 700",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114679",
            "telephone_number": "361-814-2001",
            "fax_number": "361-883-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAICH",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.