| Doctor Name: | JENNIFER BLANKENSHIP ELY |
| NPI Number: | 1033219605 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 0904003921 |
| Business Practice Address: | 335 E Main St Abingdon, VA - 242102905 |
| Business Phone Number: | 2766282510 |
| Business Fax Number: | 2766289594 |
| Mailing Address: | Po Box 985, ABINGDON |
| State: | VA |
| Postal Code: | 242120985 |
| Phone Number: | 2766282510 |
| Fax Number: | 2766289594 |
| NPI Enumeration Date: | 09/24/2006 |
| NPI Last Update Date: | 11/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904003921 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |