ROGER BLANCHARD


Address: 101 E Pier St, Port Washington, WI 53074-1939
Phone: 2622843117

ROGER BLANCHARD (NPI# 1073536793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073536793
Entity Type Individual
Full Name ROGER BLANCHARD
Credential MSW, LCSW
Practice Address 101 E Pier St
Port Washington
WI 53074-1939
Mailing Address 285 N Janacek Rd
Brookfield
WI 53045-6102
Practice Telephone 2622843117
Practice Fax Number 2622843087
Mailing Telephone 2626419050
Mailing Fax Number 2626419126
Enumeration Date 2006-07-25
Last Update Date 2008-01-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
1045-123 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39299600 05

Other Providers ROGER BLANCHARD

NPI Name Taxonomy Address Enumeration
1265553200 Roger James Blanchard Jr. Family Medicine 18838 Highway 3235, Galliano, LA 70354-4038 2007-04-03

Office Location

Street Address 101 E PIER ST
City PORT WASHINGTON
State WI
Zip Code 53074-1939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093998593 Laura G. Brewer Psychologist 101 E Pier St, Port Washington, WI 53074-1939 2007-12-07
1407969413 Lorene Menchaca Social Worker 101 E Pier St, Port Washington, WI 53074-1939 2006-08-16
1225045776 Carol Falk Counselor 101 E Pier St, Port Washington, WI 53074-1939 2006-08-01
1538182266 Laura Owens Social Worker 101 E Pier St, Port Washington, WI 53074-1939 2006-07-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962045864 Heather Kay Brede Technician 857 Ashley Avenue, Port Washington, WI 53074 2019-10-23
1780062034 Amanda Zitzer Specialist/Technologist 1037 S Spring Street, Apt 257, Port Washington, WI 53074 2015-05-07
1639507643 Kelly Mulder Occupational Therapy Assistant 138 E Prospect St, Port Washington, WI 53074 2013-10-30
1235310921 Susan Ann Dobberpuhl Occupational Therapist 306 N Sprint St, Port Washington, WI 53074 2007-11-21
1245444736 Lee B Raffel Social Worker 3632 E Norport Drive, Port Washington, WI 53074 2007-05-10
1023143708 Joshua E Leute Dentist 1317 West Grand Avenue, Port Washington, WI 53074 2007-02-22
1578633806 Robert Andrew Kortsch Dentist 457 W Grand Ave, Port Washington, WI 53074 2006-11-08
1538256409 Daniel P Witkowski Dentist 1612 N Wisconsin St, Port Washington, WI 53074 2006-10-10
1477584878 Francine L Cosner Obstetrics & Gynecology 1777 W Grand Avenue, Port Washington, WI 53074 2006-07-05
1013953926 Port Washington Podiatry Inc Podiatrist 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 2006-06-20
Find all providers in zip 53074

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407416688 Joan Salmon Social Worker 30 Plymouth Rd, Port Washington, NY 11050-4330 2019-06-19
1053801076 Debra J Brodsky Social Worker 39 Yennicock Ave # 1, Port Washington, NY 11050-2130 2018-05-15
1356790612 Amy Lynn Roth Social Worker 11 Orchard Farm Rd, Port Washington, NY 11050-3309 2016-06-08
1508213356 Josephine R Feldman Social Worker 77 Country Club Dr, Port Washington, NY 11050-4535 2016-05-23
1609241702 Nicole Brill Lcsw-r Social Worker 47 Essex Ct, Port Washington, NY 11050-4222 2015-12-01
1710392121 Joshua Michael Ring Social Worker 97 Davis Rd, Port Washington, NY 11050-3810 2014-06-24
1750702106 Nicole D Asselta Social Worker 19 Winthrop Rd, Port Washington, NY 11050-4418 2014-01-01
1316217508 Krista Diaso Social Worker 150 Bayview Ave, Port Early Childhood and Family Therapy, Port Washington, NY 11050-3620 2012-01-05
1073894432 Jane B. Weiler Social Worker 130 Bayview Ave, Port Washington, NY 11050-3618 2011-08-30
1194026369 Sim Ezratty Social Worker 26 Salem Ln, Port Washington, NY 11050-4334 2010-11-04
Find all providers in PORT WASHINGTON

Competitor

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City PORT WASHINGTON
Zip Code 53074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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