Provider Demographics
NPI:1801091152
Name:BHATNAGAR, NEERA (LCSW)
Entity type:Individual
Prefix:MS
First Name:NEERA
Middle Name:
Last Name:BHATNAGAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NEERA
Other - Middle Name:
Other - Last Name:BHATNAGAR-BLANKENSHIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 EMELINE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-1976
Mailing Address - Country:US
Mailing Address - Phone:831-763-8990
Mailing Address - Fax:831-763-8691
Practice Address - Street 1:1400 EMELINE AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-1976
Practice Address - Country:US
Practice Address - Phone:831-763-8990
Practice Address - Fax:831-763-8691
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CA957591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor