Bryan A Blakeny, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

40206 Issued in TX

Practice address

9757 Windwater Dr
Suite 5103
Houston, TX 77075-2382

Phone

(713) 484-9797

NPI assigned

Nov 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Tennessee, HSC, College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Day Stars, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stafford, TX
  • NPI 1649504853
  Medicare reassignment NPD

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1407036494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 WINDWATER DR",
            "address_2": "SUITE 5103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770752382",
            "telephone_number": "713-484-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9757 WINDWATER DR",
            "address_2": "SUITE 5103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770752382",
            "telephone_number": "713-484-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKENY",
        "first_name": "BRYAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Elizabeth Blakely, M.D.
• Jessica Blakely, PA-C
• Jessie Queen Blakely, MS
• Monica Blakely
• Richard Blakely, M.D.
• Blakes Blessing Health Care Inc.
• Mary Janella Blakey
• Christi Lynn Blakkolb, M.D.
• Gail Blakley, MD
• Olga Pavlovna Blakley, MD

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.