WANDA SIENA BLANCO (NPI# 1245471952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245471952 |
| Entity Type | Individual |
| Full Name | WANDA SIENA BLANCO |
| Credential | LCPC |
| Practice Address |
16 S Main St Ste D Berlin MD 21811-1467 |
| Mailing Address |
1147 S Salisbury Blvd Suite 8, Pmb 172 Salisbury MD 21801 |
| Practice Telephone | 4433738118 |
| Mailing Telephone | 4433738118 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2018-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PC0000797 | DE | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC8003 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH ID | 13591550 | 01 |
| Street Address |
16 S MAIN ST STE D |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-1467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205344843 | Kelsey Hale Lpc LLC | Counselor | 59 Deming Rd, Berlin, CT 06037-1512 | 2018-01-17 |
| 1104272426 | Lighthouse Counseling Christian Ministry, LLC | Counselor | 10959 Worcester Hwy, Berlin, MD 21811-3305 | 2016-05-05 |
| 1396167912 | Christopher West Tabb IIi | Counselor | 11841 Man O War Ln, Berlin, MD 21811-3361 | 2014-01-16 |
| 1467726703 | Sean Jude Alvarado | Counselor | 10007 Friendship Rd, Berlin, MD 21811-2872 | 2012-03-05 |
| 1013216001 | Alysha B Warren | Counselor | 10031 Old Ocean City Blvd Ste 106, Berlin, MD 21811-1172 | 2011-03-16 |
| 1952610370 | Alayne E Zabel | Counselor | 151 E Park Ave, Berlin, WI 54923-1677 | 2010-10-04 |
| 1043363245 | Macy P Wright | Counselor | 20 Tom Wells Rd, Berlin, NJ 08009-9644 | 2007-01-19 |
| 1659307940 | Christina Mcgurgan | Counselor | 29 Broad St, Suite 203, Berlin, MD 21811-1052 | 2006-06-25 |
| 1043254824 | Worcester Youth and Family Counseling Services, Inc. | Counselor | 124 N Main St Ste C, Berlin, MD 21811-1062 | 2006-06-15 |
| 1083256861 | Lifetime Improvement Counseling Limited Liability Company | Counselor | 10007 Friendship Rd, Berlin, MD 21811-2872 | 2019-10-12 |
| Find all providers in BERLIN | ||||
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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.