Organization Active NPI

Blanco Behavioral Health, a Licensed Clinical Social Worker Corp.

  • Clinical Social Worker
  • Whittier, CA
National Provider Identifier
1376304923
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLANCO BEHAVIORAL HEALTH, A LICENSED CLINICAL SOCIAL WORKER CORP.
Practice address
13433 Olive Dr
Whittier, CA 90601-4402
Phone
(213) 632-9117
NPI assigned
Jan 22, 2024
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Wendy Consuelo Blanco, LCSWNPI 1386893105
Title
Ceo/Founder
Phone
(213) 632-9117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

13433 Olive Dr
Whittier, CA 90601-4402

Mailing address

13502 Whittier Blvd # H-156
Whittier, CA 90605-1945
Phone (213) 632-9117

National Provider Directory

National Provider Directory

Locations

13502 Whittier Blvd
#H156
Whittier, CA 90605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1376304923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13502 WHITTIER BLVD # H-156",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051945",
            "telephone_number": "213-632-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13433 OLIVE DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014402",
            "telephone_number": "213-632-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO BEHAVIORAL HEALTH, A LICENSED CLINICAL SOCIAL WORKER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "CONSUELO",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "213-632-9117",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.