Organization Active NPI

Shelly Blanchard, L.L.C.

  • Clinical Social Worker
  • Slidell, LA
National Provider Identifier
1205159795
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHELLY BLANCHARD, L.L.C.
Practice address
1020 Bay Ridge Dr
Slidell, LA 70461-3118
Phone
(504) 813-0226
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Shelly Blanchard
Title
Owner/ Member
Phone
(504) 813-0226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1020 Bay Ridge Dr
Slidell, LA 70461-3118

Mailing address

1020 Bay Ridge Dr
Slidell, LA 70461-3118

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1205159795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BAY RIDGE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BAY RIDGE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613118",
            "telephone_number": "504-813-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY BLANCHARD, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER/ MEMBER",
        "authorized_official_telephone_number": "504-813-0226"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.