Active NPI
Blason Early, LICSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1073228995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC200001867
- Practice address
- 1101 Connecticut Ave NW Ste 450
Washington, DC 20036-4359 - Phone
- (202) 558-6493
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC200001867 | DC | Primary |
Addresses
Primary practice location
1101 Connecticut Ave NW Ste 450
Washington, DC 20036-4359
Mailing address
1125 Ivy Club LN Apt 1321
Landover, MD 20785-4533
Other practice location 1
1125 Ivy Club Ln Apt 1321
Landover, MD 20785-4533
Phone (508) 410-7647
Other names 1
- Blason Innis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC200001867 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1073228995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 IVY CLUB LN APT 1321",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207854533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CONNECTICUT AVE NW STE 450",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200364359",
"telephone_number": "202-558-6493"
}
],
"practiceLocations": [
{
"address_1": "1125 Ivy Club Ln Apt 1321",
"address_purpose": "LOCATION",
"city": "Landover",
"state": "MD",
"postal_code": "207854533",
"country_code": "US",
"telephone_number": "508-410-7647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EARLY",
"first_name": "BLASON",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC200001867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BLASON",
"last_name": "INNIS",
"credential": "LGSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.