Individual provider Active NPI

Katherine Jennifer Blank, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1457683872
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW65446 Issued in CA
Practice address
2150 Post St
San Francisco, CA 94115-3508
Phone
(415) 449-3753
NPI assigned
Feb 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW65446 CA Primary
Clinical Social Worker 1041C0700X LICSW117276 MA

Addresses

Primary practice location

2150 Post St
San Francisco, CA 94115-3508

Mailing address

1530 McAllister St
#1
San Francisco, CA 94115-4456
Phone (602) 881-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150923002892 CA Practitioner - Clinical Social Worker 1951618925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2150 Post St
San Francisco, CA 94115-3508
Phone (415) 449-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW65446CAMDClinical Social Worker
LICSW117276MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family and Children's Services CurrentSince Sep 4, 2015 Accepting new patients
Jewish Family and Children's Services CurrentSince Sep 4, 2015 Accepting new patients

Locations

2150 Post St
San Francisco, CA 94115
Phone (415) 449-1200

2534 Judah St
San Francisco, CA 94122
Phone (415) 449-2900

2200 Range Ave
Ste 102
Santa Rosa, CA 95403
Phone (707) 303-1500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1457683872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MCALLISTER ST",
            "address_2": "#1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154456",
            "telephone_number": "602-881-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 POST ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153508",
            "telephone_number": "415-449-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "KATHERINE",
        "middle_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW65446",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW117276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.