Blakely Elizabeth Harper, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004686 Issued in GA

Practice address

3350 Noble Way Ste B
Valdosta, GA 31605

Phone

(229) 333-0300

Fax

(229) 333-0306

NPI assigned

Jun 4, 2018

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

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Blakely Harper LCSW PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valdosta, GA
  • NPI 1497240543
  Medicare reassignment NPD Authorized official
• Ellen Joiner-Woodard, LCSW, PC

  • Clinical Social Worker
  • Valdosta, GA
  • NPI 1184342602
  NPD (past)
• Jason L Griner LCSW PC

  • Clinical Social Worker
  • Valdosta, GA
  • NPI 1699382556
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1831681006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NOBLE WAY STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057444",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NOBLE WAY STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31605",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "BLAKELY",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Hardin
• Catherine Hardy, DMD
• David Hardy, M.D.
• Peggy Patricia Harless, M.S. MFT
• Alex Harper, LMSW
• Jessica Harper
• Marshall Curtis Harper
• Mary Katelyn Harper, PHARM D
• James Lindsey Harrell, RPH
• Kaylyn Harrell

• Clinical Social Worker in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.