Individual provider Active NPI

Blason Early, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1073228995
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC200001867 Issued in DC
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

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
LC200001867DCMDClinical 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.

Verify at the official NPI Registry.