Individual provider Active NPI

Frances Blanco, LCSW

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1710262738
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89441 Issued in CA
Practice address
4060 N 1St Ave
San Bernardino, CA 92407-3508
Phone
(909) 589-4055
NPI assigned
Oct 21, 2011
Last updated
Sep 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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 89441 CA Primary

Addresses

Primary practice location

4060 N 1St Ave
San Bernardino, CA 92407-3508

Mailing address

4060 N 1St Ave
San Bernardino, CA 92407-3508
Phone (909) 589-4055

Other identifiers 1

IdentifierTypeStateIssuer
1457552374MedicaidCA

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
I20221206000459 CA Practitioner - Clinical Social Worker 3476922907 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89441CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
True North Star Licensed Clinical Social Worker PC Clinical CurrentSince Sep 17, 2023 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Oct 25, 2022 Accepting new patients
Soultenders, Inc. CurrentSince Aug 11, 2024 Accepting new patients
Soultenders Psychological Services, Inc. Clinical CurrentSince Jun 29, 2026 Accepting new patients
Family First Guidance CurrentSince Apr 20, 2025 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

555 Marin St
Ste 180
Thousand Oaks, CA 91360
Phone (626) 701-4249

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1710262738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 N 1ST AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924073508",
            "telephone_number": "909-589-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 N 1ST AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924073508",
            "telephone_number": "909-589-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "FRANCES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2023-09-10",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457552374",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.