Active NPI
Stephanie Marie Blannett
- Clinical Social Worker
- Buckingham, PA
National Provider Identifier
1497403653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW136905
- Practice address
- 5246 York Road
Buckingham, PA 18902 - Phone
- (570) 362-0974
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW136905 | PA | Primary |
Addresses
Primary practice location
5246 York Road
Buckingham, PA 18902
Mailing address
600 Roosevelt Ave
Glenside, PA 19038-2914
Phone (570) 362-0974
Other practice location 1
17 barclay st Suite B3
newtown, PA 18940
Phone (570) 362-0974
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stephanie@buckssupportservices.com | Direct | Bucks Support Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW136905 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1497403653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 ROOSEVELT AVE",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190382914",
"telephone_number": "570-362-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5246 YORK ROAD",
"city": "BUCKINGHAM",
"state": "PA",
"postal_code": "18902",
"telephone_number": "570-362-0974"
}
],
"practiceLocations": [
{
"address_1": "17 barclay st Suite B3",
"address_purpose": "LOCATION",
"city": "newtown",
"state": "PA",
"postal_code": "18940",
"country_code": "US",
"telephone_number": "570-362-0974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANNETT",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW136905",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stephanie@buckssupportservices.com",
"affiliation": "Y",
"affiliationName": "Bucks Support Services",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5246 York Road",
"city": "Buckingham",
"state": "PA",
"country_code": "US",
"postal_code": "18902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Buckingham, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.