Blanca Lisbeth Khalifeh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101356 Issued in CA

Practice address

536 Bell Street Ext
Ligonier, PA 15658-8704

Phone

(213) 663-0325

NPI assigned

Apr 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Blanca Lisbeth Gomez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: blanca.khalifeh.1@30520.direct.athenahealth.com

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1235584129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 STANFORD AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051523",
            "telephone_number": "213-663-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 BELL STREET EXT",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156588704",
            "telephone_number": "213-663-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIFEH",
        "first_name": "BLANCA",
        "middle_name": "LISBETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101356",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLANCA",
            "last_name": "GOMEZ",
            "middle_name": "LISBETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nikolas Scott Kaminski, NREMT
• Amy Karaffa, PT
• Tammy Kedzierski, PT
• Marissa R Kennedy
• Terrance J Kerestes
• Leonard M Kostley, DMD
• Mary K Kott, OT
• Susan M Koval, M.A., NCC, LPC
• Julie Kozora, PT
• Jody L Kromel

• Clinical Social Worker in Ligonier, PA
• Providers in Ligonier, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.