MR. KEVIN DALE BLANCHARD MSW LICSW NPI 1841206810

NPI Information

NPI: 1841206810
Provider Name: MR. KEVIN DALE BLANCHARD, MSW, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
50 CHAPMAN ST
GREENFIELD, MA
ZIP 01301
Phone: (413) 628-4593
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MR. Kevin Dale Blanchard, MSW, LICSW is a mental health counselor in Greenfield, MA with 28 years of experience. MR. Kevin Dale Blanchard, MSW, LICSW NPI is 1841206810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50 CHAPMAN ST
GREENFIELD, MA
ZIP 01301-415
Phone: (413) 628-4593
Fax: (413) 773-0477

The NPI 1841206810 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1030843	MASSACHUSETTS	Yes
2	1041C0700X	Social Worker	Clinical	1030843	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P21289	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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