Mariellen E Blanton in Virginia Beach - Clinical

Mariellen E Blanton - NPI 1245270909

Mariellen E Blanton is a Clinical in Virginia Beach, Virginia. Mariellen E Blanton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mariellen E Blanton is 1245270909. The last update date is 2008-03-19.

Mariellen E Blanton's current location address is 2816 W Gibbs Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7572429988. The mailing address for Mariellen E Blanton is 2816 W Gibbs Rd, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mariellen E Blanton
Address 2816 W Gibbs Rd, Virginia Beach, Virginia
Phone Number 7572429988
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1245270909
Provider Enumeration Date 2006-06-08
Last Updated Date 2008-03-19

Provider Mailing Address Detail

Address 2816 W Gibbs Rd
City Virginia Beach
State Virginia (VA)
Post Code 234571067
Phone Number 7572429988
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904006099
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
194059 VA BSVA
2143183 VA MAMSI
248016 ANTHEM BCBS
O88709M VA SENTARA MENTAL HEALTH
1322073 COMPSYCH
268230 COMPSYCH
374444 VA CHAMPUS

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FAQs about Mariellen E Blanton

What is the unique 10-digit identification code assigned to Mariellen E Blanton by the Centers for Medicare & Medicaid Services?

The Mariellen E Blanton has been issued the NPI (National Provider Identifier) 1245270909, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Mariellen E Blanton is physically located?

The Mariellen E Blanton is situated at the following address: 2816 W Gibbs Rd, Virginia Beach, VA 234571067.

What is Mariellen E Blanton's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mariellen E Blanton is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Mariellen E Blanton receive the assignment of its 1245270909 from the Centers for Medicare & Medicaid Services?

The Mariellen E Blanton was issued its 1245270909 by the Centers for Medicare & Medicaid Services on 2006-06-08.

When was the information regarding Mariellen E Blanton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mariellen E Blanton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-19.

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