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NPI Code Detail

MEDICARE: MS. CATHERINE A BLANKENSHIP LISW-S

MEDICARE: MS. CATHERINE A BLANKENSHIP LISW-S
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.1100203OH
21041C0700XClinical Social WorkerI.1502368-SUPVOH

General Provider Information

NPI Number : 1780933887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE A BLANKENSHIP LISW-S
Provider Business Mailing Address
First Line : 5982 RHODES RD
Second Line :
City : KENT
State : OH
Zip : 44240-8100
Country : US
Telephone Number : 330-673-1347
Fax Number :
Provider Business Practice Location Address
First Line : 5982 RHODES RD
Second Line :
City : KENT
State : OH
Zip : 44240-8100
Country : US
Telephone Number : 330-673-1347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 05/22/2024

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Directions to “ MS. CATHERINE A BLANKENSHIP LISW-S” Practice Location

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