JACQUELINE BLAKEMORE (NPI# 1376932046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376932046 |
| Entity Type | Individual |
| Full Name | JACQUELINE BLAKEMORE |
| Practice Address |
75 N Garden Ave Sierra Vista AZ 85635-3805 |
| Practice Telephone | 5207320871 |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 0003205 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PEER SUPPORT SPECIALIST | 0003205 | 01 |
| Street Address |
75 N GARDEN AVE |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114994050 | Patricia Diana Hoffman | Counselor | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2006-02-28 |
| 1114471067 | Lindy N Cain | Counselor | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2016-08-09 |
| 1508231457 | Theresa Chiu | Counselor | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2015-12-03 |
| 1164808754 | James Richard Gilchrist | Counselor | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2015-08-05 |
| 1275926180 | Ericka Jean Sullins | Specialist | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2015-03-17 |
| 1043601982 | Ronald Michaael Ellsworth Jr. | Registered Nurse | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2015-02-13 |
| 1073918470 | Telecare Mental Health Services of Arizona, Inc | Clinic/Center | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2014-10-28 |
| 1164502654 | Lloyd Edward Walters | Counselor | 75 N Garden Ave, Sierra Vista, AZ 85635-3805 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033492947 | Makisha Litten Gunty | Social Worker | 333 W Wilcox Dr, Suite 303, Sierra Vista, AZ 85635-1789 | 2011-09-27 |
| 1740506021 | Katherine R. Perry | Social Worker | 1939 Frontage Rd Ste A, Sierra Vista, AZ 85635-4638 | 2010-04-13 |
| 1295803609 | Tina M. Pitts | Social Worker | 157 N Coronado Dr, Sierra Vista, AZ 85635-6360 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667060 | Dustin Wade Wallace | Social Worker | 12475 E Laurel Ln, Scottsdale, AZ 85259-3457 | 2020-10-24 |
| 1124627179 | Elena Andrea Flores | Social Worker | 4253 N Craftsman Ct Ste 11, Scottsdale, AZ 85251 | 2020-10-21 |
| 1174130371 | Tucson Transitions | Social Worker | 719 W 40th St, Tucson, AZ 85713-5834 | 2020-09-30 |
| 1275142341 | Susan Marie Webb | Social Worker | 91 E Joseph Way, Gilbert, AZ 85295-1405 | 2020-07-24 |
| 1366050684 | Danielle Watzek | Social Worker | 18484 N 111th Ct, Surprise, AZ 85378-6952 | 2020-07-22 |
| 1225646508 | Michael E Carr | Social Worker | 15039 W Highland Ave, Goodyear, AZ 85395-6361 | 2020-07-22 |
| 1992313241 | Kristy Lynn Frieden | Social Worker | 1019 N 1st Dr Unit 237a, Phoenix, AZ 85003-1472 | 2020-07-22 |
| 1619585148 | Chelsey Valeri | Social Worker | 8603 E Royal Palm Rd Ste 100b, Scottsdale, AZ 85258-4389 | 2020-07-21 |
| 1609493139 | Peter Vernezze | Social Worker | 10483 E Marquette St, Tucson, AZ 85747-5932 | 2020-06-30 |
| 1407471543 | Vivian Fajardo | Social Worker | 8610 W Paradise Ln, Peoria, AZ 85382-3542 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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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.