| Jennifer Marie Kahealani Vanlandingham, LCSW, LCAS | |
|
146 Nesbitt Rdg, Lake Lure, NC 28746-0057 | |
| (828) 625-4400 | |
| Not Available |
| Full Name | Jennifer Marie Kahealani Vanlandingham |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 146 Nesbitt Rdg, Lake Lure, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841611159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-24517 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C009946 (North Carolina) | Primary |
| Entity Name | Blue Ridge Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225029051 PECOS PAC ID: 3173434743 Enrollment ID: O20040402000411 |
| Entity Name | Blue Ridge Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750757803 PECOS PAC ID: 3173434743 Enrollment ID: O20160209000022 |
| Entity Name | Blue Ridge Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407200264 PECOS PAC ID: 3173434743 Enrollment ID: O20161213001360 |
| Entity Name | Blue Ridge Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881130540 PECOS PAC ID: 3173434743 Enrollment ID: O20170919000085 |
| Entity Name | Blue Ridge Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801261391 PECOS PAC ID: 3173434743 Enrollment ID: O20200331001776 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Marie Kahealani Vanlandingham, LCSW, LCAS 220 5th Ave E, Hendersonville, NC 28792-4377 Ph: (828) 692-4289 | Jennifer Marie Kahealani Vanlandingham, LCSW, LCAS 146 Nesbitt Rdg, Lake Lure, NC 28746-0057 Ph: (828) 625-4400 |