ALAN J BLOMQUIST (NPI# 1750448627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750448627 |
| Entity Type | Individual |
| Full Name | ALAN J BLOMQUIST |
| Credential | LCSW |
| Practice Address |
1015 Oconor Ave La Salle IL 61301-1216 |
| Mailing Address |
1015 O Conor Ave Bldg M Lasalle IL 61301 |
| Practice Telephone | 8152230303 |
| Practice Fax Number | 8152235815 |
| Mailing Telephone | 2172229487 |
| Mailing Fax Number | 2172228578 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149005073 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1015 OCONOR AVE |
| City | LA SALLE |
| State | IL |
| Zip Code | 61301-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555020 | Peter O'keefe | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2020-10-15 |
| 1710531470 | Mackenzie Elise Benning | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2019-07-30 |
| 1972169985 | Jennifer Lynn Burwell | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2019-05-15 |
| 1750870382 | Bree N Carlson | Speech-Language Pathologist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2018-05-09 |
| 1609226596 | Shannon Jenkins-solomon | Physical Therapy Assistant | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2016-06-21 |
| 1104287226 | Katherine Ann Schickedanz | Occupational Therapist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2016-03-17 |
| 1003207051 | Ashwin Yegneswar | Home Health | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2015-02-12 |
| 1932444270 | Kristin Ann Wackerlin | Speech-Language Pathologist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2012-11-27 |
| 1184926511 | Karen R. Dunne | Speech-Language Pathologist | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2010-11-17 |
| 1942367453 | Illinois Veterans Home At Lasalle | Durable Medical Equipment & Medical Supplies | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912453 | Matthew V Hartman | Dentist | 941 First St, La Salle, IL 61301 | 2008-08-22 |
| 1164501078 | Pamela F Wolf | Counselor | 146 Gooding Street, La Salle, IL 61301 | 2006-11-02 |
| 1265514343 | Rose Mary Schaumberg | Nurse Practitioner | 2970 Chartres Street, Lasalle, IL 61301 | 2006-10-19 |
| 1578668141 | Cynthia L. Ashley | Psychologist | 206 Marquette Street, Suite 203, Lasalle, IL 61301 | 2006-09-14 |
| 1922016849 | Mary Therese Petrella | Nurse Practitioner | 2970 Chartres, Hygienic Institute Community Health Clinic, La Salle, IL 61301 | 2006-08-04 |
| 1073527461 | William L Judge | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-07-28 |
| 1124044318 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2006-07-14 |
| 1962445247 | William Michael White | Dentist | 225 Gooding St, Suite 1, La Salle, IL 61301 | 2006-06-14 |
| 1730629429 | Liberty Kathleen Grzybowski | Social Worker | 2960 Chartres St., La Salle, IL 61301 | 2017-03-01 |
| 1619267135 | Gergovich Family Chiropractic, LLC. | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2011-04-18 |
| Find all providers in zip 61301 | ||||
| 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 |
|---|---|---|---|---|
| 1457412868 | Diane Louise Farrell | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2006-12-12 |
| 1033749098 | Nicole Heather Tonioni | Social Worker | 2428 Chartres St, La Salle, IL 61301-1107 | 2020-01-17 |
| 1154828820 | David Lee Martin | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2018-04-10 |
| 1730629429 | Liberty Kathleen Grzybowski | Social Worker | 2960 Chartres St., La Salle, IL 61301 | 2017-03-01 |
| 1396289377 | Noelle Sliker | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2016-12-12 |
| 1871999268 | Sarah Morscheiser | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2014-11-12 |
| 1699178954 | Jamie Taylor | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2014-10-01 |
| 1043626823 | Ronda Ketner | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2014-07-01 |
| 1811293095 | Jessica Marie Dergance | Social Worker | 2428 Chartres St, La Salle, IL 61301-1107 | 2011-02-04 |
| 1689908972 | Christine Kohut | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2009-09-20 |
| Find all providers in LA SALLE | ||||
Please comment or provide details below to improve the information on ALAN J BLOMQUIST.
| 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.