SANDRA SUSAN BLAZEK (NPI# 1942721295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942721295 |
| Entity Type | Individual |
| Full Name | SANDRA SUSAN BLAZEK |
| Credential | MSW |
| Practice Address |
608 Nash Street Nw Wilson NC 27893 |
| Mailing Address |
1217 Gold St N Wilson NC 27893-2401 |
| Practice Telephone | 2522912200 |
| Practice Fax Number | 2522912296 |
| Mailing Telephone | 2522379682 |
| Mailing Fax Number | 2522379683 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P011740 | NC | Behavioral Health & Social Service Providers |
| Street Address |
608 NASH STREET NW |
| City | WILSON |
| State | NC |
| Zip Code | 27893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| 1356786909 | John Philip Clarke | Orthotist | 118 Nash St E, Suite E, Wilson, NC 27893 | 2013-05-08 |
| Find all providers in zip 27893 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804107 | Ashley Williams | Social Worker | 3611 Shadow Ridge Rd N, Wilson, NC 27896-8644 | 2019-11-06 |
| 1225670193 | Samantha Renee Freeman | Social Worker | 3406 Wetherly Dr N Apt B, Wilson, NC 27896-1290 | 2019-10-12 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1952889107 | Greta Vanbree | Social Worker | 800 Raleigh Road Pkwy W, Wilson, NC 27893-2153 | 2018-07-31 |
| 1518450865 | Alysann Brooke Price | Social Worker | 5878 Farmwood Loop, Wilson, NC 27896 | 2018-06-12 |
| 1093205429 | Jannie Renee Engel | Social Worker | 3300 Blenheim Pl Nw, Wilson, NC 27896-9305 | 2018-05-10 |
| 1992292098 | Vanessa Anne Fabian | Social Worker | 7905 S. Fall Creek Rd, Wilson, WY 83014-0290 | 2018-04-16 |
| 1851845143 | Rhonda Renee Baker | Social Worker | 4336 Pine Tree Ct, Wilson, NC 27893-8590 | 2016-08-04 |
| 1487069449 | Heather Jo Ross | Social Worker | 2130 Forest Hills Rd W Ste A, Wilson, NC 27893-3681 | 2014-06-27 |
| 1669722419 | Jeremy Silcox | Social Worker | 7905 Fall Creek Rd., Wilson, WY 83014 | 2012-09-19 |
| Find all providers in WILSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.