Individual provider Active NPI

Precious Mazie Heyward-Blanding

  • School Social Worker
  • Washington, DC
National Provider Identifier
1154168987
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
LG200002944 Issued in DC
Practice address
1419 Columbia Rd NW
Washington, DC 20009-4705
Phone
(202) 319-2268
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X LG200002944 DC Primary

Addresses

Primary practice location

1419 Columbia Rd NW
Washington, DC 20009-4705

Mailing address

9530 Baltimore Ave Apt 433
College Park, MD 20740-1322
Phone (347) 793-0102

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
LG200002944DCMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Latin American Youth Center PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1154168987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 BALTIMORE AVE APT 433",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401322",
            "telephone_number": "347-793-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 COLUMBIA RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094705",
            "telephone_number": "202-319-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYWARD-BLANDING",
        "first_name": "PRECIOUS",
        "middle_name": "MAZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LG200002944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 10, 2024; 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.