Individual provider · Type 1 NPI

Ja'shaun Brailey Blanding, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1407185648 Active · reactivated Jun 13, 2024

Practice location

3540 Toringdon Way, Suite 200
Charlotte, NC 28277-3867

Fax (980) 217-8025

Other practice locations

  • 3210 Prosperity Church Rd Ste 101, Charlotte, NC 28269-8194 · (704) 548-5298

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP020362 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1407185648

Ja'shaun Brailey Blanding, LCSWA's National Provider Identifier is 1407185648, issued on Dec 17, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jan 27, 2026.