Louise J Blissenbach, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1245 Issued in MN

Practice address

124 Elton Hills LN NW
Rochester, MN 55901-3567

Phone

(507) 282-1009

NPI assigned

Jul 12, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184659716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 PROSPECT ST SE",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231412",
            "telephone_number": "507-867-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ELTON HILLS LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013567",
            "telephone_number": "507-282-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISSENBACH",
        "first_name": "LOUISE",
        "middle_name": "J",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00468620",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle L Blazejak, NP
• Audrey M Blazek Ramsay, MD
• Madeleine M Blazel
• Adam Christopher Bledsoe, M.D.
• Jessica L Bleess, PA-C
• Kristen R. Blixt, RDN LD
• Kelsey Alexis Block, PA-C
• Matthew S Block, MD, PHD
• Riddick Richard Blocker IV, MD
• Amanda R Blom, OTR/L, CLT-LANA

• Clinical Social Worker in Rochester, MN
• Providers in Rochester, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.