Michele Blanch-Barr, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1578 LISW-CP Issued in SC

Practice address

201 Sigma Dr Ste 334
Summerville, SC 29486-7722

Phone

(800) 552-4357

Fax

(678) 388-9244

NPI assigned

Nov 2, 2006

Last updated

May 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD
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  • Professional Counselor
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  • NPI 1073732822
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1245319342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 TROLLEY RD STE E",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858281",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIGMA DR STE 334",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867722",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Trolley Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858281",
            "country_code": "US",
            "telephone_number": "800-552-4357",
            "fax_number": "678-388-9244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCH-BARR",
        "first_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "1578",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "1578 LISW-CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Summerville, SC
• Providers in Summerville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.