Bette A Blondin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007589 Issued in NC

Practice address

142 Fairview Dr
Emerald Isle, NC 28594-2711

Phone

(252) 269-5785

Fax

(866) 807-4712

NPI assigned

Sep 21, 2006

Last updated

May 3, 2012By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1629177464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JAMES DR",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285943019",
            "telephone_number": "928-848-1867",
            "fax_number": "866-807-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 FAIRVIEW DR",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285942711",
            "telephone_number": "252-269-5785",
            "fax_number": "866-807-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDIN",
        "first_name": "BETTE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith V. Alsina, LCSW,BCD
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• Nicole Leigh Bettis, ED.S., LMFT, RPT
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• Carteret Heart, PLLC
• Companion and Home Care, LLC

• Clinical Social Worker in Emerald Isle, NC
• Providers in Emerald Isle, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.