Stephanie K Blank, is a
Social Worker - Clinical based in Pasadena, California. Stephanie K Blank is licensed to practice in California (license number LSC23906) and her current practice location is
2555 E Colorado Blvd, Suite 100, Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 577-2261.
NPI number for Stephanie K Blank is 1417080219 and her current mailing address is 2555 E Colorado Blvd, Suite 100, Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417080219.
Healthcare Provider's Profile
| Full Name | Stephanie K Blank |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2555 E Colorado Blvd, Pasadena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417080219
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 11/22/2010
Medical Identifiers
Medical identifiers for Stephanie K Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417080219 | NPI | - | NPPES |
| ICAN683 | Other | CA | LA COUNTY DMH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW17456 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LSC23906 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie K Blank is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephanie K Blank,
2555 E Colorado Blvd, Suite 100,
Pasadena, CA 91107-6622
Ph: (626) 577-2261 | Stephanie K Blank,
2555 E Colorado Blvd, Suite 100,
Pasadena, CA 91107-6622
Ph: (626) 577-2261 |
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