WENDY SHALENE BLAYLOCK (NPI# 1073754768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073754768 |
| Entity Type | Individual |
| Full Name | WENDY SHALENE BLAYLOCK |
| Credential | MSW, LCSW |
| Practice Address |
305 E Pacific St Kingsville MO 64061-2512 |
| Mailing Address |
305 E Pacific Kingsville MO 64040 |
| Practice Telephone | 8165973500 |
| Mailing Telephone | 8165973500 |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2006019504 | MO | Behavioral Health & Social Service Providers |
| Street Address |
305 E PACIFIC ST |
| City | KINGSVILLE |
| State | MO |
| Zip Code | 64061-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467405035 | Western Johnson County Medical Clinic | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2006-05-18 |
| 1720370232 | Cass Regional Medical Center | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2011-05-03 |
| 1518269257 | Cass Regional Medical Center | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2010-12-01 |
| 1801952833 | Western Johnson County Medical Clinic LLC | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2006-12-27 |
| 1396845020 | Kristin Anstine | Nurse Practitioner | 305 E Pacific St, Kingsville, MO 64061-2512 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376984153 | Kimberly Ann Smith | Speech-Language Pathologist | 15612 Hadsell Rd, Kingsville, MO 64061-9007 | 2013-07-09 |
| 1952705444 | Country Crossroads Counseling | Community/Behavioral Health | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2014-10-13 |
| 1457984379 | Jessica Janis | Counselor | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2020-02-19 |
| 1093205908 | Mandy Greene | Counselor | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2018-05-16 |
| 1841720851 | Katie Marie Watterson | Counselor | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2017-06-13 |
| 1134580723 | Suzanne Leemay Seitz | Counselor | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2016-03-10 |
| 1003414020 | Scarlett Long | Nurse Practitioner | 590 Nw 1751st Rd, Kingsville, MO 64061-9169 | 2020-10-12 |
| 1497065064 | Dianna L Jennings | Speech-Language Pathologist | 101 E Adriatic St # 7, Kingsville, MO 64061-9202 | 2010-10-18 |
| 1831417310 | School Dist R-1 Kingsville | Physical Therapist | 101 E Adriatic St, Kingsville, MO 64061-9202 | 2010-05-10 |
| 1407053648 | Sharon Darlene Weir | Preferred Provider Organization | 39906 E 219th St, Kingsville, MO 64061-9279 | 2007-06-29 |
| Find all providers in zip 64061 | ||||
| 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 |
|---|---|---|---|---|
| 1992972996 | Susan Jean Ruckel | Social Worker | 12027 Hammonds Glen Cir, Kingsville, MD 21087-1515 | 2008-05-09 |
| 1609895259 | Lena Lou Wheeler | Social Worker | 1429 S 6th St, Kingsville, TX 78363-6253 | 2006-07-18 |
| 1588653950 | Mark Lewis O'neill | Social Worker | 19 Elray Rd, Kingsville, MD 21087-1741 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447701 | Constance Fulks | Social Worker | 1141 Wooden Dr, Florissant, MO 63033-5954 | 2020-11-03 |
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336748599 | Meghan Lyn Mallams | Social Worker | 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 | 2020-10-20 |
| 1639777154 | Keisa D. Baker | Social Worker | 7716 Arlington Ave, Raytown, MO 64138-1654 | 2020-10-16 |
| 1811595697 | Sarah Nicole Bailey | Social Worker | 27759 Rock Ave, Bell City, MO 63735-8111 | 2020-10-13 |
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1184221368 | Deborah L Tannenbaum, Lcsw, LLC | Social Worker | 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 | 2020-10-01 |
| 1407463706 | Allison Nichole Kemble | Social Worker | 806 Shawn Ct, Centralia, MO 65240-4320 | 2020-09-30 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1730796541 | Angelita Pritchett | Social Worker | 908 Glencoe, Park Hills, MO 63601-1931 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | KINGSVILLE |
| Zip Code | 64061 |
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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.