Individual ProviderCarol J BlankenshipSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-1162(520) 615-6200PECOS EnrollmentBased on the most recent information from CMS, provider Carol J Blankenship does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1598746323Provider TypeIndividualFull NameBlankenship, Carol JCredentialLCSQGenderFemaleEnumeration Date11/9/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-1162Phone(520) 615-6200Fax(520) 615-6255Mailing LocationMailing Address1775 E Skyline Dr, Ste 101, Tucson, AZ 85718-1162Phone(520) 615-6200Fax(520) 615-6255Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCSW2974ArizonaProvider IdentifiersIDDescriptionIssuerID958382DescriptionMedicaidIssuerUnlistedArizona