Individual provider Active NPI

Zuri Amir Blount-Tate, LMSW

  • Social Worker
  • Hyattsville, MD
National Provider Identifier
1225786502
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19224 Issued in MD
Practice address
3011 Belcrest Center Way Apt 206
Hyattsville, MD 20782-2974
Phone
(202) 730-6806
NPI assigned
Mar 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LG50080455 DC
Social Worker 104100000X 19224 MD Primary

Addresses

Primary practice location

3011 Belcrest Center Way Apt 206
Hyattsville, MD 20782-2974

Mailing address

3011 Belcrest Center Way Apt 206
Hyattsville, MD 20782-2974
Phone (202) 730-6806

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
LG50080455DCMDSocial Worker
19224MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1225786502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 BELCREST CENTER WAY APT 206",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822974",
            "telephone_number": "202-730-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 BELCREST CENTER WAY APT 206",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822974",
            "telephone_number": "202-730-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT-TATE",
        "first_name": "ZURI",
        "middle_name": "AMIR",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50080455",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.