MS. HEIDI JOYCE BLANK


Address: 5380 E Kachina St, 355th Mdos/sgoh, Tucson, AZ 85707-4923
Phone: 5202284926

MS. HEIDI JOYCE BLANK (NPI# 1164494258) 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) 1164494258
Entity Type Individual
Full Name MS. HEIDI JOYCE BLANK
Credential LCSW
Practice Address 5380 E Kachina St
355th Mdos/sgoh
Tucson
AZ 85707-4923
Mailing Address 7535 E Shore Dr
Tucson
AZ 85715-3643
Practice Telephone 5202284926
Mailing Telephone 5202980651
Enumeration Date 2006-02-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
R035089-1 NY Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
LCSW-11898 AZ Behavioral Health & Social Service Providers

Other Providers HEIDI BLANK

NPI Name Taxonomy Address Enumeration
1508248394 Heidi Blank General Acute Care Hospital 234 E 149th St, Bronx, NY 10451-5504 2015-06-29
1962735225 Heidi L Blank Occupational Therapist 7 Carnegie Plz, Cherry Hill, NJ 08003-1020 2009-09-17

Office Location

Street Address 5380 E KACHINA ST
355TH MDOS/SGOH
City TUCSON
State AZ
Zip Code 85707-4923

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891782314 Wendy W Pipentacos Social Worker 5380 E Kachina St, Tucson, AZ 85707-4923 2005-09-30
1801079694 David Beil-adaskin Psychologist 5380 E Kachina St, Building 4220, Tucson, AZ 85707-4923 2007-12-14
1215082987 James Joseph Sanchez Counselor 5380 E Kachina St, Tucson, AZ 85707-4923 2007-01-24
1881672277 Melissa Dione Frodge Social Worker 5380 E Kachina St, Bldg. 4220, Tucson, AZ 85707-4923 2006-01-05
1700863008 Katherine Susan Rearden Social Worker 5380 E Kachina St, Davis-monthan Afb, Tucson, AZ 85707-4923 2005-12-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699128850 Megan Dehaven Specialist/Technologist 5455 E Comanche St, Tucson, AZ 85707 2016-07-22
1780927954 Ryan N Taylor Physician Assistant 400, 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 2013-04-05
1154658839 Alisha A Marchetti Physician Assistant 4175 S. Alamo Avenue, 355th Mdg/mdos, Davis-monthan Afb, AZ 85707 2009-11-17
1851529192 Christopher Thomas Yarbrough Military Health Care Provider 4625 South Phoenix Street Bldg 4843, Tucson, AZ 85707 2009-06-25
1144457045 Denise Fabian Psychiatry & Neurology 5427 E. Madera Street, Davis Monthan Afb, AZ 85707 2009-06-17
1942437447 Emerson M Earle Military Health Care Provider 4625 S. Phoenix St, Bld 4843, Tucson, AZ 85707 2009-06-11
1164657136 Raul Romero Military Health Care Provider 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707 2009-05-20
1063647196 Virginia E. Bailey Military Health Care Provider 4837 S Phoenix St., Rm 119 Davis-monthan Air Force Base, Tucson, AZ 85707 2009-05-19
1043417611 Jacob Riis Orthopaedic Surgery 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 2007-06-28
1508989732 Christopher E. Dunham Physician Assistant 4175 S. Alamo Ave Bldg 400, 355th Medical Group-davis Monthan Afb, Tucson, AZ 85707 2007-04-10
Find all providers in zip 85707

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
1669070710 Erica Rhea Wagner Social Worker 4873 E Cooper St, Tucson, AZ 85711-3617 2020-10-12
1053928648 Elizabeth Sarah Kieding Social Worker 4732 E Calle Elegante, Tucson, AZ 85718-3733 2020-09-28
1386259778 Yolanda Jeli Social Worker 1701 W Saint Marys Rd Ste 117, Tucson, AZ 85745-2621 2020-09-11
1689282097 Marcus Aurelius De Volder Social Worker 8110 E Speedway Blvd Apt 8391, Tucson, AZ 85710-1782 2020-07-21
1336766641 Jamie Lakin Social Worker 470 W Roger Rd Ste 110, Tucson, AZ 85705-2679 2020-07-02
1356961973 Jillian A Stein-seroussi Social Worker 5400 E Williams Blvd Apt 12207, Tucson, AZ 85711-7486 2020-04-23
1124648175 Deborah Lorraine Mack Social Worker 9950 N Camino De Oeste, Tucson, AZ 85742-9119 2020-04-20
1376163543 Strategic Healing LLC Social Worker 245 S Bryant Ave, Tucson, AZ 85711-4122 2020-04-17
1811526841 Jessica Belter Social Worker 3009 E Elm St # 1, Tucson, AZ 85716-3124 2020-04-02
1700425436 Shannon N Barefield Social Worker 48 N Tucson Blvd Ste 100, Tucson, AZ 85716-4756 2019-12-28
Find all providers in TUCSON

Competitor

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City TUCSON
Zip Code 85707

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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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