Ms Gwendolyn K Blankenship, LCSW | |
344 N Reading Rd, Ephrata, PA 17522-1651 | |
(717) 738-1125 | |
(717) 738-0606 |
Full Name | Ms Gwendolyn K Blankenship |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 31 Years |
Location | 344 N Reading Rd, Ephrata, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902245905 | NPI | - | NPPES |
103626033 | Medicaid | PA | |
12571606 | Other | CAQH | |
C06778 | Other | VA | GROUP PTAN |
CW018315 | Other | PA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904004052 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | CW018315 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Philhaven | 8729991419 | 68 |
Entity Name | Philhaven |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103 |
Mailing Address | Practice Location Address |
---|---|
Ms Gwendolyn K Blankenship, LCSW 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Ms Gwendolyn K Blankenship, LCSW 344 N Reading Rd, Ephrata, PA 17522-1651 Ph: (717) 738-1125 |
Heather Mae Venezia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 514 E Main St, Ephrata, PA 17522 Phone: 717-721-1752 | |
Mr. Richard H Mousley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4131c Oregon Pike, Ephrata, PA 17522 Phone: 717-859-9902 Fax: 717-859-8774 | |
Matthew Richard Harding, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 514 E Main St, Ephrata, PA 17522 Phone: 717-721-1752 | |
Nelson S Yoder, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 354 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 Fax: 717-738-0606 | |
Katherine K Ranck, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 344 N Reading Rd, Ephrata, PA 17522 Phone: 717-738-1125 | |
Kristin Marie Lapp, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 W Locust St, Ephrata, PA 17522 Phone: 717-340-9869 |