Jeannine Dawn Blakeman, CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5331 Issued in KY

Practice address

9903 Ledgelawn Springs CT
Louisville, KY 40291-4150

Phone

(502) 541-7850

NPI assigned

Apr 22, 2024

Last updated

Apr 22, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1962257113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZORN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061433",
            "telephone_number": "502-287-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9903 LEDGELAWN SPRINGS CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914150",
            "telephone_number": "502-541-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Zorn Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402061433",
            "country_code": "US",
            "telephone_number": "502-287-6196 x54223",
            "fax_number": "502-287-6223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKEMAN",
        "first_name": "JEANNINE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "5331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Nicole Blair, APRN
• Caley Elizabeth Blake, PA-C
• Jessica Ann Banet Blake, FNP-C
• Steven Blakely, PT, DPT
• Christian Amanda Blakeman, LPCC
• Blakey Health Solutions PLLC
• Ieshia Miya Blakey, APRN
• Michael D Blakey
• Sarah Cao Blanchard, PA-C
• Steven Paul Blanchard, DMD

• Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.