Pamela K. Blackburn-Noble, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1821 Issued in KY

Practice address

1000 E Lexington Ave
Ste. 27
Danville, KY 40422-9042

Phone

(859) 967-8172

Fax

(859) 885-5327

NPI assigned

Aug 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• New Vista of the Bluegrass Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stanton, KY
  • NPI 1043250095
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730197872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403400918",
            "telephone_number": "859-967-8172",
            "fax_number": "859-885-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E LEXINGTON AVE",
            "address_2": "STE. 27",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229042",
            "telephone_number": "859-967-8172",
            "fax_number": "859-885-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN-NOBLE",
        "first_name": "PAMELA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30615058",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bevins Crowley Nutrition LLC
• Suzanne A Bhatt, PHD
• Bio-Medical Applications of Kentucky, Inc.
• Mackenzie Taylor Bishop, APRN
• Victoria Olivia Bishop
• Peggy Kessler Bland, MRS
• Bluegrass Brace Shop, LLC
• Bluegrass Chiro
• Bluegrass Drug Store PLLC
• Bluegrass Hearing Clinic, LLC

• Clinical Social Worker in Danville, KY
• Providers in Danville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.