Kendal Blackwelder, is a
Social Worker - Clinical based in Charlotte, North Carolina. Kendal Blackwelder is licensed to practice in North Carolina (license number P009271) and her current practice location is
515 Clanton Rd, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 332-9001.
NPI number for Kendal Blackwelder is 1447655634 and her current mailing address is 515 Clanton Rd, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447655634.
Healthcare Provider's Profile
Full Name | Kendal Blackwelder |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 515 Clanton Rd, Charlotte, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447655634
- Provider Enumeration Date: 10/30/2014
- Last Update Date: 10/30/2014
Medical Identifiers
Medical identifiers for Kendal Blackwelder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447655634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CSAC-14708 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P009271 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendal Blackwelder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kendal Blackwelder, 515 Clanton Rd, Charlotte, NC 28217-1309 Ph: (704) 332-9001 | Kendal Blackwelder, 515 Clanton Rd, Charlotte, NC 28217-1309 Ph: (704) 332-9001 |
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