Katherine Lee Blaser, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13119 Issued in MD

Practice address

15 Wormans Mill CT
Suite D
Frederick, MD 21701-3019

Phone

(301) 228-2731

NPI assigned

Nov 9, 2007

Last updated

Nov 9, 2007By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 1, 2017 through May 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Blue Ridge Behavioral Health Services, LLC

  • Mental Health Counselor
  • Frederick, MD
  • NPI 1508862392

  Clinical

  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1326228032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WORMANS MILL CT",
            "address_2": "SUITE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013019",
            "telephone_number": "301-228-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WORMANS MILL CT",
            "address_2": "SUITE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013019",
            "telephone_number": "301-228-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASER",
        "first_name": "KATHERINE",
        "middle_name": "LEE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Louise Blake, LCSW-C
• Joyce Blakeman, RD
• Lauren Blakey
• Tanya Blanco
• Maria Fernanda Blasco
• BLB Counseling
• Bliss Physical Therapy and Wellness, LLC
• Amanda Kaye Bliss, PHYSICIAN ASSISTANT
• Ethan Bliss, PHD
• Charlene Bloedorn, OTR/L

• Clinical Social Worker in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.