Misty Blann, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007530A Issued in IN

Practice address

1813 Willow St Ste 6a
Vincennes, IN 47591-4279

Phone

(812) 882-0894

NPI assigned

Oct 21, 2012

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

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1336492826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 WILLOW ST STE 6A",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914279",
            "telephone_number": "812-882-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 WILLOW ST STE 6A",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914279",
            "telephone_number": "812-882-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANN",
        "first_name": "MISTY",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008819",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007530A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Indiana, Inc.
• Angela Kay Black, MS, PT
• Brooke Christine Blackburn, LPTA
• Cindy Blackwell, PT
• Dustin Patrick Blackwell, DO
• Lisa Michelle Bloebaum, PHARMD
• Michelle Bloebaum
• Emily Jo Bobe, FNP-C
• Sally Bodensteiner, M.D.
• Dwight Eugene Bolejack, OCCUPATIONAL THERAPI

• Clinical Social Worker in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.