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DONNA L BLACHE LCSW NPI 1992713416


NPI Information

NPI: 1992713416
Provider Name: DONNA L BLACHE, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
7 S HOSPITAL DR
MURPHYSBORO, IL
ZIP 62966
Phone: (618) 687-3418
Get Directions

Donna L Blache, LCSW is a clinical social worker in Murphysboro, IL. The provider is 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. Donna L Blache, LCSW NPI is 1992713416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7 S HOSPITAL DR
MURPHYSBORO, IL
ZIP 62966-333
Phone: (618) 687-3418
Fax: (618) 687-1859

The enumeration date for this NPI number is 8/3/2006 and was last updated on 4/4/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical149010444ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1141840MEDICARE OSCAR/CERTIFICATIONILLINOIS
2640701OTHERILLINOISPTAN MEDICARE
3370966854005MEDICAIDILLINOIS
4141848MEDICARE OSCAR/CERTIFICATIONILLINOIS
5370966854002MEDICAIDILLINOIS
6K20530MEDICARE PINILLINOIS

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

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