Active NPI
Susan C. Blanchard, LCSW
- Clinical Social Worker
- Leesburg, VA
National Provider Identifier
1326157371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002318
- Practice address
- 102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544 - Phone
- (703) 771-5100
- Fax
- (703) 777-0170
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904002318 | VA | Primary |
Addresses
Primary practice location
102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544
Mailing address
42655 Fairweather CT.
Ashburn, VA 20148
Phone (703) 724-1866
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5409488306 | Other | VA | TRICARE |
| 020235 | Other | VA | EASTERN LOUDOUN |
| 290237 | Other | VA | LEESBURG |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904002318 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Loudoun, Virginia | Past | Accepting new patients | |
| County of Loudoun, Virginia | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Loudoun County Community Services Board
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Leesburg, VA
- NPI 1386753291
-
dba Loudoun County Health Department
- State or Local Public Health Clinic/Center
- Leesburg, VA
- NPI 1588353569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326157371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42655 FAIRWEATHER CT.",
"city": "ASHBURN",
"state": "VA",
"postal_code": "20148",
"telephone_number": "703-724-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 HERITAGE WAY NE STE 302",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764544",
"telephone_number": "703-771-5100",
"fax_number": "703-777-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "SUSAN",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "5409488306",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EASTERN LOUDOUN",
"identifier": "020235",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEESBURG",
"identifier": "290237",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- 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.