Individual provider Active NPI

Jo-Anne Blatter, LCSW

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1619913936
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS16176 Issued in CA
Practice address
2565 Puesta del Sol
Suite 102
Santa Barbara, CA 93105-2936
Phone
(805) 682-7313
NPI assigned
Jun 22, 2006
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS16176 CA Primary

Addresses

Primary practice location

2565 Puesta del Sol
Suite 102
Santa Barbara, CA 93105-2936

Mailing address

PO Box 3891
Santa Barbara, CA 93130-3891
Phone (805) 682-7313

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
I20060320000684 CA Practitioner - Clinical Social Worker 0749297539 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2565 Puesta del Sol
Suite 102
Santa Barbara, CA 93105-2936
Phone (805) 682-7313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS16176CAMDClinical Social Worker
16176CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1619913936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3891",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931303891",
            "telephone_number": "805-682-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 PUESTA DEL SOL",
            "address_2": "SUITE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052936",
            "telephone_number": "805-682-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTER",
        "first_name": "JO-ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.