Dustin Blend, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18583 Issued in FL

Practice address

100 Deerfield Preserve Blvd
St Augustine, FL 32086-5966

Phone

(904) 829-0814

NPI assigned

May 4, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pro Performance Physical Therapy LLC

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1215598529
  NPD (past)

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1174268916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEERFIELD PRESERVE BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865966",
            "telephone_number": "954-885-9500",
            "fax_number": "904-829-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEERFIELD PRESERVE BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865966",
            "telephone_number": "904-829-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEND",
        "first_name": "DUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-04",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Blancq, PT
• Adrian Bland, OT, DPT
• Brandi M Bland, HIS
• Kathryn Anne Blazer
• Carrie Bleichwehl
• Margaret E. Bliss, MOTR/L
• Randi Bloom-Brazer, LCSW
• Stephanie Blosser, MA, DPT
• Ureka Donitra Blount
• Tanya Boatwright, CNA

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.