Kate Blanco, LCSW
Individual provider Active NPI Clinical Social Worker · Chicago, IL
NPI 1801026679 · NPPES record last updated Jul 15, 2009
Key facts
- NPI
- 1801026679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149012955 (IL)
- Practice address
- 3803 N Ashland Ave
Chicago, IL 60613-2707 - Phone
- (773) 369-8938
- NPI assigned
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149012955 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Resource Centers LTD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149012955 | IL | Yes |
Addresses
Primary practice location
3803 N Ashland Ave
Chicago, IL 60613-2707
Mailing address
3803 N Ashland Ave
Chicago, IL 60613-2707
Phone (773) 369-8938
Other providers in Chicago, IL
- Christiane Vega Blanco-Oilar
- Alfonso Blanco
- Christina Blanco
- Irene Blanco
- Jayjay Zabala Blanco
- Luis Z Blanco Jr.
- Ryan Blanco
- Yulady Blanco
- Bland & Associates, Inc
- Michael J. Bland
All providers in Chicago, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.