MS. MARIELLEN E BLANTON (NPI# 1245270909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245270909 |
| Entity Type | Individual |
| Full Name | MS. MARIELLEN E BLANTON |
| Credential | LCSW |
| Practice Address |
79 E Windsor Blvd Windsor VA 23487-9410 |
| Mailing Address |
2816 W Gibbs Rd Virginia Beach VA 23457-1067 |
| Practice Telephone | 7572429988 |
| Practice Fax Number | 7572423647 |
| Mailing Telephone | 7572429988 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710101448 | VA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904006099 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMPSYCH | 1322073 | 01 | |
| ANTHEM BCBS | 248016 | 01 | |
| VA | MAMSI | 2143183 | 01 |
| VA | SENTARA MENTAL HEALTH | O88709M | 01 |
| VA | BSVA | 194059 | 01 |
| VA | CHAMPUS | 374444 | 01 |
| COMPSYCH | 268230 | 01 |
| Street Address |
79 E WINDSOR BLVD |
| City | WINDSOR |
| State | VA |
| Zip Code | 23487-9410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467438895 | Patricia Hanley | Psychologist | 79 E Windsor Blvd, Windsor, VA 23487-9410 | 2005-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801310529 | Traveling Mercy Care,llc | Non-emergency Medical Transport (VAN) | 10510 Twin Ponds Dr., Windsor, VA 23487 | 2017-08-03 |
| 1811201015 | Matters of The Heart | Respite Care | 11 B East Windsor Blvd., Windsor, VA 23487 | 2010-07-29 |
| 1245495548 | Tonya D Alexander | Student in an Organized Health Care Education/Training Program | 11381 Lena Rose St, Windsor, VA 23487 | 2008-07-25 |
| 1376573469 | Jorge Eduardo Grandela | Counselor | 79 E. Windsor Blvd, Windsor, VA 23487 | 2006-07-04 |
| 1710941166 | Nakorn Apakupakul | Family Medicine | 20 E Windsor Blvd, Windsor, VA 23487 | 2006-04-13 |
| 1962926741 | Sara Karker | Physical Therapist | 23352 Courthouse Hwy, Windsor, VA 23487 | 2017-08-02 |
| 1114473485 | Robin Marie Schussler | Physical Therapy Assistant | 23352 Courthouse Hwy, Windsor, VA 23487 | 2016-08-28 |
| 1770057069 | Margaret Aston | Registered Nurse | 28208 Buckhorn Dr, Windsor, VA 23487-4215 | 2019-01-19 |
| 1972545606 | Sp Windsor Health Investors, LLC | Skilled Nursing Facility | 23352 Courthouse Hwy, Windsor, VA 23487-5333 | 2006-06-10 |
| 1023634706 | Austin John Martinelli | Occupational Therapist | 23352 Courthouse Hwy, Windsor, VA 23487-5333 | 2020-06-18 |
| Find all providers in zip 23487 | ||||
| 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 |
|---|---|---|---|---|
| 1013538149 | Amy Joy Parent | Social Worker | 13 North Cir, Windsor, CT 06095-2420 | 2020-04-29 |
| 1518443027 | Professional Institute for Clinical Service, LLC | Social Worker | 360 Bloomfield Ave Ste 306, Windsor, CT 06095-2700 | 2018-07-17 |
| 1417409731 | Crystal Noel Meredith | Social Worker | 385 Antora Ct, Windsor, CO 80550-3239 | 2016-11-03 |
| 1063963072 | Kathryn Jacobs | Social Worker | 111 Cricket Ct, Windsor, CA 95492-7950 | 2016-10-14 |
| 1063873875 | Cassandra Williams | Social Worker | 2189 Grain Bin Ct, Windsor, CO 80550-3427 | 2016-03-08 |
| 1134588403 | Anne Marie Kelly | Social Worker | 82 State St, Windsor, VT 05089-1276 | 2016-02-16 |
| 1588050272 | Lauren Elizabeth Maloney | Social Worker | 1 Lang Rd, Windsor, CT 06095-1514 | 2015-04-09 |
| 1245649128 | Terraine Jamison | Social Worker | 581 Bloomfield Ave, Windsor, CT 06095-6095 | 2014-08-05 |
| 1154752673 | Tabitha A Scott | Social Worker | 9291 Old Redwood Hwy # 500, Windsor, CA 95492-8089 | 2013-12-09 |
| 1396187928 | Donna Vibes | Social Worker | 34 Lighthouse Hill Rd, Windsor, CT 06095-1210 | 2013-07-24 |
| Find all providers in WINDSOR | ||||
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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.