MIRANDA FRANCES BLATCHFORD


Address: .5 Miles Sw of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504
Phone: 9287294012

MIRANDA FRANCES BLATCHFORD (NPI# 1184192163) 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) 1184192163
Entity Type Individual
Full Name MIRANDA FRANCES BLATCHFORD
Credential LCSW
Practice Address .5 Miles Sw of The Fd Field House
Bldg #6905
Fort Defiance
AZ 86504
Mailing Address Po Box 1490
Fort Defiance
AZ 86504-1490
Practice Telephone 9287294012
Practice Fax Number 9287294200
Mailing Telephone 9287294012
Mailing Fax Number 9287294200
Enumeration Date 2018-11-07
Last Update Date 2018-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C-05526 NM Behavioral Health & Social Service Providers

Office Location

Street Address .5 MILES SW OF THE FD FIELD HOUSE
BLDG #6905
City FORT DEFIANCE
State AZ
Zip Code 86504

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807664 Clifford Charles Pharmacist Corners of Route 7&12, Fort Defiance, AZ 86504 2020-10-06
1720605207 Christopher A Will Registered Nurse 2126-1 Shandiin Circle, Fort Defiance, AZ 86504 2020-06-30
1750904207 Crystal Salaz Respiratory Therapist, Registered Corner of Roue N12 and N7, Fort Defiance, AZ 86504 2020-05-19
1003451600 Rebecca Reeve Pharmacist Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 2019-11-07
1851947485 David Glen Webb Pharmacist Hwy 12 Nr 110, Fort Defiance, AZ 86504 2019-08-09
1952963647 Eukerison Bobby Tsinajinie Counselor .25 Miles S Fieldhouse Ra 6905, Fort Defiance, AZ 86504 2019-07-02
1770145567 Joann Tso I Counselor 1/4 Mile Ne of Ft. Defiance Fieldhouse, Ft. Defiance, AZ 86504 2019-07-02
1174185961 James Leslie Counselor 1/4 Mile South of Ft Defiance Fieldhouse Ra#6905, Ft Defiance, AZ 86504 2019-07-02
1477030914 Michelle Rosario Dietitian, Registered Fort Defiance Indian Hospital Board, Inc., Corner of Route N12 and N7, Fort Defiance, AZ 86504 2018-07-27
1306332630 Ryan Nguyen Optometrist Indian Rte 7 & Indian Route 12, Fort Defiance, AZ 86504 2018-07-10
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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 state

NPI Name Taxonomy Address Enumeration
1104426204 Aimee Benton Wickersham Social Worker 15593 W Mackenzie Dr, Goodyear, AZ 85395-7779 2020-10-28
1205436474 Cherilin Michelle Diefenbacher-phariss Social Worker 43180 W Arizona Ave, Maricopa, AZ 85138-8232 2020-10-27
1679173181 Jill M Robinson Social Worker 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 2020-10-26
1669070710 Erica Rhea Wagner Social Worker 4873 E Cooper St, Tucson, AZ 85711-3617 2020-10-12
1376141697 Kristen Beuchat Alaniz Social Worker 2520 W Brookhart Way, Phoenix, AZ 85085-3725 2020-10-09
1780281659 Robin Slavit Social Worker 5550 E Deer Valley Dr Apt 426, Phoenix, AZ 85054-5673 2020-10-05
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
1396359378 Gary Santorella Social Worker 16102 E Glenpoint Dr, Fountain Hills, AZ 85268-3115 2020-09-07
1043822869 Matthew Christopher Durdovic Social Worker 3250 E 40th St Bldg B, Yuma, AZ 85365-7994 2020-08-21
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Competitor

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City FORT DEFIANCE
Zip Code 86504

Improve Information

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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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