Active NPI
Jennifer L. Blankenship, L.C.S.W., P.C.
- Clinical Social Worker
- Abingdon, VA
National Provider Identifier
1750434718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904003921
- Legal business name
- JENNIFER L. BLANKENSHIP, L.C.S.W., P.C.
- Practice address
- 335 E Main St
Abingdon, VA 24210-2905 - Phone
- (276) 628-2510
- Fax
- (276) 628-9594
- NPI assigned
- Jan 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Lenore Blankenship
- Title
- Business Owner
- Phone
- (276) 628-2510
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904003921 | VA | Primary |
Addresses
Primary practice location
335 E Main St
Abingdon, VA 24210-2905
Mailing address
PO Box 985
Abingdon, VA 24212-0985
Phone (276) 628-2510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256926 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
699 McBroom St NW
Ste B
Abingdon, VA 24210
Phone (276) 492-8421
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Abingdon, VA
- NPI 1033219605
-
- Clinical Psychologist
- Asheville, NC
- NPI 1871564872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603411200000",
"number": "1750434718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 985",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242120985",
"telephone_number": "276-628-2510",
"fax_number": "276-628-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 E MAIN ST",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102905",
"telephone_number": "276-628-2510",
"fax_number": "276-628-9594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER L. BLANKENSHIP, L.C.S.W., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-20",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A",
"authorized_official_last_name": "BLANKENSHIP",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LENORE",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "276-628-2510"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "256926",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.