Elizabeth Hunter-Blank, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1999135382 Issued in MO

Legal business name

ELIZABETH HUNTER-BLANK, LLC

Practice address

4104 Central St
Kansas City, MO 64111-2307

Phone

(816) 582-3877

Fax

(913) 362-5597

NPI assigned

Sep 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elizabeth Leona Hunter-Blank, LCSW, LSCSW

Title

Owner

Phone

(816) 582-3877

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1992800395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 CENTRAL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112307",
            "telephone_number": "816-582-3877",
            "fax_number": "913-362-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 CENTRAL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112307",
            "telephone_number": "816-582-3877",
            "fax_number": "913-362-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH HUNTER-BLANK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "HUNTER-BLANK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LEONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-582-3877",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "1999135382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494763600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.