ANDREA MICHELLE BLANK (NPI# 1114924628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114924628 |
| Entity Type | Individual |
| Full Name | ANDREA MICHELLE BLANK |
| Credential | LCSW |
| Practice Address |
501 E 15th St Suite 500a Edmond OK 73013-5043 |
| Mailing Address |
15951 Little Axe Dr Norman OK 73026-9088 |
| Practice Telephone | 4058885299 |
| Practice Fax Number | 4058885322 |
| Mailing Telephone | 4054470300 |
| Mailing Fax Number | 4057017914 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2265 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235550252 | Andrea Lynn Blank | Nurse Practitioner | 676 N Saint Clair St, Suite 850, Chicago, IL 60611-2927 | 2013-12-17 |
| Street Address |
501 E 15TH ST SUITE 500A |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376097618 | Michelle Blank, Lcsw, Pllc | Social Worker | 501 E 15th St, 500a, Edmond, OK 73013-5043 | 2016-08-03 |
| 1932558533 | Emily Stubblefield Lpc LLC | Counselor | 501 E 15th St, Suite 500a, Edmond, OK 73013-5043 | 2016-06-06 |
| 1265891899 | Counseling Offices of Randy L. Crownover, Lmft, LLC | Community/Behavioral Health | 501 E 15th St, Suite 500a, Edmond, OK 73013-5043 | 2016-02-10 |
| 1780069609 | Kyle Henderson | Optometrist | 501 E 15th St, Suite 101, Edmond, OK 73013-5043 | 2015-07-21 |
| 1710305727 | Jordan Sanchez | Social Worker | 501 E 15th St, Suite 400a, Edmond, OK 73013-5043 | 2014-04-07 |
| 1871923458 | Precision Vision of Edmond, Pllc | Optometrist | 501 E 15th St, Suite 101, Edmond, OK 73013-5043 | 2013-11-19 |
| 1417393836 | Lilyfield, Inc. | Community/Behavioral Health | 501 E 15th St, Ste. 400a, Edmond, OK 73013-5043 | 2013-05-13 |
| 1548408032 | Dixie M. Stewart | Counselor | 501 E 15th St, Suite 102, Edmond, OK 73013-5043 | 2009-01-22 |
| 1235376708 | Paul Silvestri | Counselor | 501 E 15th St, Suite 102, Edmond, OK 73013-5043 | 2009-01-20 |
| 1003071705 | Christian Counseling Associates | Counselor | 501 E 15th St, Suite 102, Edmond, OK 73013-5043 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335532 | Patricia Anne Westcott | Social Worker | 1100 Capitol Dr, Edmond, OK 73003-5066 | 2018-08-09 |
| 1851813257 | Puzzle Peace Counseling, Inc | Social Worker | 1603 E 19th St Ste 190, Edmond, OK 73013-6566 | 2017-07-07 |
| 1346761269 | Darryl Lamar Brooks Jr. | Social Worker | 705 Nw 137th St, Edmond, OK 73013-1904 | 2017-06-30 |
| 1992225379 | Wiselife Counseling Pllc | Social Worker | 2708 Nw 187th Ter, Edmond, OK 73012-7622 | 2017-06-26 |
| 1104298751 | Quisha Boyles | Social Worker | 18528 Rastro Dr, Edmond, OK 73012-9799 | 2015-10-22 |
| 1851773550 | Zandria Hooks | Social Worker | 32 Nw 155th St, Edmond, OK 73013-2081 | 2015-06-18 |
| 1003166760 | Connie Lynn Schlittler | Social Worker | 3608 Chickasaw Dr, Edmond, OK 73013-6854 | 2012-09-10 |
| 1982963948 | Sandra M Sabbioni | Social Worker | 2505 Old Farm Ln, Edmond, OK 73013-6716 | 2012-05-11 |
| 1710244777 | Justine M Dowell | Social Worker | 1705 Del Simmons Dr, Edmond, OK 73003-2423 | 2012-04-16 |
| 1699055871 | Teresa Reeves | Social Worker | 15310 N May Ave # 201, Edmond, OK 73013 | 2011-08-19 |
| Find all providers in EDMOND | ||||
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| 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.