Jennifer L. Blankenship, L.c.s.w., P.c. | |
335 E Main St Abingdon VA 24210-2905 | |
(276) 628-2510 | |
(276) 628-9594 |
Full Name | Jennifer L. Blankenship, L.c.s.w., P.c. |
---|---|
Speciality | Social Worker |
Location | 335 E Main St, Abingdon, Virginia |
Authorized Official Name and Position | Jennifer Lenore Blankenship (BUSINESS OWNER) |
Authorized Official Contact | 2766282510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jennifer L. Blankenship, L.c.s.w., P.c. Po Box 985 Abingdon VA 24212-0985 Ph: (276) 628-2510 | Jennifer L. Blankenship, L.c.s.w., P.c. 335 E Main St Abingdon VA 24210-2905 Ph: (276) 628-2510 |
NPI Number | 1750434718 |
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Provider Enumeration Date | 01/20/2007 |
Last Update Date | 10/23/2020 |
Certification Date | 10/23/2020 |
Medicare PECOS PAC ID | 9739167784 |
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Medicare Enrollment ID | O20040708000011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750434718 | NPI | - | NPPES |
256926 | Other | VA | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904003921 (Virginia) | Primary |
Provider Name | Jennifer Lenore Blankenship |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033219605 PECOS PAC ID: 8729066774 Enrollment ID: I20040708000022 |
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