Active NPI
Eddie Blanding Jr., LMSW
- School Social Worker
- Rochester, NY
National Provider Identifier
1861741597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 086429
- Practice address
- 131 W Broad St
Rochester, NY 14614-1103 - Phone
- (585) 262-8100
- NPI assigned
- Sep 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 086429 | NY | Primary |
Addresses
Primary practice location
131 W Broad St
Rochester, NY 14614-1103
Mailing address
156 Wellington Ave
Rochester, NY 14611-3020
Phone (585) 663-7070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086429 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester City School District | Past | Accepting new patients | |
| Rochester City School District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Rochester, NY
- NPI 1275668253
-
- Rehabilitation Hospital Unit
- Rochester, NY
- NPI 1598034530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1861741597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 WELLINGTON AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146113020",
"telephone_number": "585-663-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 W BROAD ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146141103",
"telephone_number": "585-262-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANDING",
"first_name": "EDDIE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-10",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "086429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.