Kiana Juliet Blandin, LMSW
Individual provider Active NPI Social Worker · Rosedale, NY
NPI 1225973100 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1225973100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 129507-01 (NY)
- Practice address
- 24008 135TH Ave
Rosedale, NY 11422-1511 - Phone
- (347) 440-1500
- NPI assigned
- Apr 20, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129507-01 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saras Haven Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 129507-01 | NY | Yes |
Addresses
Primary practice location
24008 135TH Ave
Rosedale, NY 11422-1511
Mailing address
24008 135TH Ave
Rosedale, NY 11422-1511
Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.