Individual provider Active NPI

Rachel M. Blanford, MSW, CSW

  • Clinical Social Worker
  • Bardstown, KY
National Provider Identifier
1326536236
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255404 Issued in KY
Practice address
115 S Salem Dr
Bardstown, KY 40004-1762
Phone
(502) 331-5478
Fax
(502) 385-0234
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 255404 KY Primary

Addresses

Primary practice location

115 S Salem Dr
Bardstown, KY 40004-1762

Mailing address

111 N Charity HTS
Bardstown, KY 40004-8740
Phone (502) 316-2805

Other practice location 1

401 Commerce Cir
MT Sterling, KY 40353-7815
Phone (859) 498-5243

Other identifiers 1

IdentifierTypeStateIssuer
7100726910MedicaidKY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
255404KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blanford Pediatric Therapy LLC Multi-Specialty Past Accepting new patients
Bardstown Primary Care, PLLC Past Accepting new patients
Blanford Pediatric Therapy LLC Multi-Specialty Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1326536236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N CHARITY HTS",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048740",
            "telephone_number": "502-316-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SALEM DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041762",
            "telephone_number": "502-331-5478",
            "fax_number": "502-385-0234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Commerce Cir",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "KY",
            "postal_code": "403537815",
            "country_code": "US",
            "telephone_number": "859-498-5243",
            "fax_number": "859-498-5396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANFORD",
        "first_name": "RACHEL",
        "middle_name": "M.",
        "credential": "MSW, CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100726910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.