Blankenship, Stacy Renee

Blankenship, Stacy Renee is an individual health care provider with primary practice located at 206 High House Rd Ste 200 , Cary NC 27513-8496. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blankenship, Stacy Renee can be contacted via phone (919) 678-0124.

Contact Information

Primary practice address
206 High House Rd Ste 200 Cary NC 27513-8496
Phone: (919) 678-0124
Fax: (919) 230-0127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C008411 North Carolina

Profile Details

NPI number 1043556541
LBN Legal business name Blankenship, Stacy Renee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2013
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043556541 NPPES
North Carolina Other C008411 NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LISCENSURE BOARD

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