Jessica L Blanco, LMSW, CSW-I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10789-M Issued in NV

Practice address

660 S Green Valley Pkwy Ste 140
Henderson, NV 89052-0431

Phone

(702) 240-8639

NPI assigned

Dec 20, 2023

Last updated

Dec 20, 2023By 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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLC

  dba Focus Mental Health Solutions

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1336483742

  Clinical

  NPD
• Jennifer C Moore MSW LCSW Inc

  dba Foundations Counseling Center

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1013615079
  NPD (past)

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1720857550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S GREEN VALLEY PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S GREEN VALLEY PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520431",
            "telephone_number": "702-240-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "LMSW, CSW-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10789-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Joseph Blake III, HIS
• Michelle M Blakeley, MFT, CPC
• Robin Blanc
• Harmony Blanchard-Eagle
• Arisa May Blanco
• Devan Bland
• Rita Michelle Blankenship, MS, LMFT-I, LCADC-I
• Amy Blazejewski, DMD
• Irene Blockmon
• Heather Marie Blondin, DO

• Clinical Social Worker in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.