ELIZABETH J BLOTKAMP (NPI# 1578726576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578726576 |
| Entity Type | Individual |
| Full Name | ELIZABETH J BLOTKAMP |
| Credential | MSW |
| Practice Address |
403 E Madison St South Bend IN 46617-2322 |
| Practice Telephone | 5742831107 |
| Practice Fax Number | 5742831131 |
| Mailing Telephone | 5742831107 |
| Mailing Fax Number | 5742831131 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
403 E MADISON ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164497962 | Phillip Coffey | Social Worker | 403 E Madison St, South Bend, IN 46617-2322 | 2006-02-23 |
| 1134534456 | Memorial Hospital of South Bend, Inc | General Acute Care Hospital | 403 E Madison St, South Bend, IN 46617-2322 | 2014-06-25 |
| 1225310402 | Susan K Henderson | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2011-09-14 |
| 1154633550 | Meladie A Langham | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-07-14 |
| 1497067896 | Kami S Brenneman | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-07-14 |
| 1396064309 | Casandra Mcgrew | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-06-01 |
| 1124347133 | Amanda Jardine | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-06-01 |
| 1104141985 | Aaron T Gray | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-04-05 |
| 1346579679 | Linda S Hoppel | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2009-12-16 |
| 1235468570 | Michelle M Peters | Social Worker | 403 E Madison St, South Bend, IN 46617-2322 | 2009-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962917385 | Andrea Eriks | Counselor | 51728 Indiana 933, South Bend, IN 46637-4663 | 2017-12-07 |
| 1497272975 | Audrey Renee Miller | Counselor | 912 E Lasalle Ave, South Bend, IN 46617-2817 | 2017-08-25 |
| 1912429127 | Valerie Galbraith | Counselor | 51728 State Road 933, South Bend, IN 46637-1706 | 2017-07-10 |
| 1851781777 | Beth Madigan | Counselor | 2955 Mckinley Ave Ste C, South Bend, IN 46615-2733 | 2015-01-30 |
| 1982901450 | Jocelyn Margaret Bailey | Counselor | 616 E. Colfax Ave., South Bend, IN 46617-2827 | 2011-02-18 |
| 1629378658 | Lindsay London | Counselor | 3516 E Jefferson Blvd, South Bend, IN 46615-3034 | 2010-10-25 |
| 1902133648 | Martha Denise May | Counselor | 1006 West Robert Bush Drive, South Bend, WA 98586 | 2009-11-16 |
| 1205086246 | Goode Counseling Services | Counselor | 4560 S Ironwood Dr, South Bend, IN 46614-9595 | 2008-09-26 |
| 1326207820 | Geraldne F Bryan | Counselor | 1443 Hampshire Dr, South Bend, IN 46614-6005 | 2008-06-09 |
| 1225223100 | Lisa K. Sexton | Counselor | 205 W Jefferson Blvd, Suite 504, South Bend, IN 46601-1828 | 2007-09-13 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on ELIZABETH J BLOTKAMP.
| 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.