Kelsey Blahnik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16575 Issued in FL

Practice address

219 Village Oak Dr
Austin, TX 78737-4864

Phone

(512) 790-4786

Fax

(719) 410-0668

NPI assigned

Apr 4, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 24, 2024 through Jun 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The and Way Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1578268306
  NPD Authorized official

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1487283123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 LOOKOUT PL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518433",
            "telephone_number": "281-918-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 VILLAGE OAK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374864",
            "telephone_number": "512-790-4786",
            "fax_number": "719-410-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Lookout Pl",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327518433",
            "country_code": "US",
            "telephone_number": "281-918-8814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAHNIK",
        "first_name": "KELSEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles D Blackwell, PHARM. D.
• Jillian Leah Blackwell, PHARMD
• Rebecca J Blackwell
• Lisa Blackwood, LPC
• Tiara Blackwood
• Blair Kott Nutrition
• Bethany Blair
• Stephen D Blair, MD
• Robert E Blais, M.D.
• Tamina Elaine Blais, M.D.

• Clinical Social Worker in Austin, TX
• Providers in Austin, 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 Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.