Individual
JENNIFER LENORE BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
335 E MAIN ST, ABINGDON, VA 24210-2905
(276) 628-2510
(276) 628-9594
Mailing address
PO BOX 985, ABINGDON, VA 24212-0985
(276) 628-2510
(276) 628-9594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003921
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008918911
—
VA
01
—
2037889
CIGNA
VA
01
—
256926
ANTHEM
VA
01
—
292218000
MAGELLAN
VA
01
—
513306
VALUE OPTIONS
VA
01
—
7320136
AETNA
VA
Enumeration date
09/24/2006
Last updated
10/23/2020
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