Carol K Blecker, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62902 Issued in CA

Practice address

1 Wool St
San Francisco, CA 94110-5549

Phone

(415) 290-3251

NPI assigned

Apr 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Carol Kesich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1508039082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WOOL ST.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105549",
            "telephone_number": "415-647-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOOL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105549",
            "telephone_number": "415-290-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECKER",
        "first_name": "CAROL",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "62902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "KESICH",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Summer J Blauvelt
• Leroy Ricardo Blea
• Sarah Jill Bleasdale
• Catherine Blebea, MD
• Derek Robert Blechinger, M.D.
• Ian Bledsoe, MD
• Patricia Bledsoe
• Sonia Bledsoe, M.D.
• Tiffany Bledsoe
• Thomas Bleecker, PHD

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.