Jennifer Block
Individual provider Active NPI Clinical Psychologist · West Columbia, SC
NPI 1972069870 · NPPES record last updated Feb 15, 2019
Key facts
- NPI
- 1972069870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1508 (SC)
- Practice address
- 3937 Sunset Blvd Ste B
West Columbia, SC 29169-2423 - Phone
- (803) 900-4890
- NPI assigned
- Feb 15, 2019
- Sex
- Female
- Sole proprietor
- No
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)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Speech and Hearing, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1508 | SC | Yes |
Addresses
Primary practice location
3937 Sunset Blvd Ste B
West Columbia, SC 29169-2423
Mailing address
2323 Lee St
Columbia, SC 29205-1711
Other providers in West Columbia, SC
- Tomer Blas
- John David Blevins
- Daniel Bliesner
- Kenneth Blind
- Allison Williams Blizzard
- Bloom and Grow Pathways Early Intervention, LLC
- Stephanie Carver Blume
- Linda S Boan
- Leiann Roberts Boards
- Kaitlin Boddorf
All providers in West Columbia, SC · Clinical Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2019. 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.