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Contact Information

JESSICA L BLANKENSHIP, LCSW
420 N MAIN ST
BRISTOL, CT06010-4923
 Phone: 860-583-5858
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JESSICA L BLANKENSHIP · (Female)

NPI # 1104975937
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/10/2007
Last updated 12/16/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 007322
Hospital affiliation(s)
  • BRISTOL HOSPITAL - (Acute Care)
    BREWSTER RD
    BRISTOL, CT 06010
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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