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NPI Code Detail

MEDICARE: JENNIFER KAYE BLATNIK LSW

MEDICARE: JENNIFER KAYE BLATNIK LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.2106946OH

General Provider Information

NPI Number : 1780739110
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KAYE BLATNIK LSW
Provider Business Mailing Address
First Line : 925 KEYNOTE CIR STE 300
Second Line :
City : BROOKLYN HEIGHTS
State : OH
Zip : 44131-1869
Country : US
Telephone Number : 216-931-1300
Fax Number :
Provider Business Practice Location Address
First Line : 925 KEYNOTE CIR STE 300
Second Line :
City : BROOKLYN HEIGHTS
State : OH
Zip : 44131-1869
Country : US
Telephone Number : 216-931-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 04/09/2026

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