Traci Lynn Blancke, MSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

401 N Division St
Ann Arbor, MI 48104-1442

Phone

(319) 651-4964

NPI assigned

Aug 31, 2010

Last updated

Mar 29, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1588971311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N ASHLEY ST APT 14",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033366",
            "telephone_number": "319-651-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N DIVISION ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041442",
            "telephone_number": "319-651-4964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8750 Mountain Blvd",
            "address_2": "Building 69",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946054500",
            "country_code": "US",
            "telephone_number": "510-317-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19855 Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242022",
            "country_code": "US",
            "telephone_number": "319-651-4964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCKE",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Blake, MD
• Julie Ann Blake, CNM
• Terah Blakemore
• Collin A Blakita
• Lindsay Blakney
• Jessica N. Bland, MA
• Le'Neul Bland, LLMSW
• Sharon Castillo Blando
• Caroline E Blane, MD
• Haley Blaney

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.