ANNALISA BLACKHAM – Social Worker, NPI 1932416963

ANNALISA BLACKHAM is a healthcare provider. based in West valley city, Utah. specializing in Social Worker. The NPI Number for ANNALISA BLACKHAM is 1932416963

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ANNALISA BLACKHAM
NPI
1932416963
Phone
Not provided
Address
3392 W 3500 S
Enumeration Date
13 September 2010
Last Update Date
13 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013952256
Graduation Year
2011 (15 years ago)
PAC ID
7214354646
Group Practice PAC ID
0042451650
Professional Enrollment ID
I20200901000206
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for ANNALISA BLACKHAM

  • 3392 W 3500 S

    WEST VALLEY CITY, UT 841192630

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84119)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042451650View full group profile
NameSpecialtyState
Nurse PractitionerWA
Physical Therapist In Private PracticeUT
Nurse PractitionerUT
Physician AssistantUT
Clinical Social WorkerUT
Clinical Social WorkerUT
Clinical Social WorkerUT
Clinical Social WorkerUT
Occupational Therapist In Private PracticeCO
Clinical Social WorkerUT

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Frequently asked questions

Where can patients find ANNALISA BLACKHAM's NPI?
You can confirm ANNALISA BLACKHAM with NPI 1932416963; it appears in the national provider directory.
Is ANNALISA BLACKHAM currently active in the NPI registry?
CMS-published data lists ANNALISA BLACKHAM as an active registrant.
Does ANNALISA BLACKHAM list a primary specialty?
If you are matching referrals, note Social Worker for ANNALISA BLACKHAM. Clinical services aligned with this taxonomy classification.
What location shows for ANNALISA BLACKHAM?
We surface West Valley City, Utah for ANNALISA BLACKHAM based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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