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NPI Code Detail

MEDICARE: KAREN BLANCHETTE LCSW

MEDICARE: KAREN BLANCHETTE LCSW
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
11041C0700XClinical Social Worker1024305MA
21041C0700XClinical Social WorkerSW-14400FL

General Provider Information

NPI Number : 1972723237
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN BLANCHETTE LCSW
Provider Business Mailing Address
First Line : 4520 OAK FAIR BLVD STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33610-7356
Country : US
Telephone Number : 813-542-5500
Fax Number : 813-542-5501
Provider Business Practice Location Address
First Line : 4520 OAK FAIR BLVD STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33610-7356
Country : US
Telephone Number : 813-542-5500
Fax Number : 813-542-5501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2007
Last Update Date : 08/19/2020

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Directions to “ KAREN BLANCHETTE LCSW” Practice Location

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