Blaise Rastello, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100200 Issued in CA

Practice address

951 Cherry Ave Unit a
Boulder, CO 80304-4329

Phone

(720) 391-9951

NPI assigned

Feb 22, 2017

Last updated

Jul 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1366981458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 CHERRY AVE UNIT A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044329",
            "telephone_number": "720-391-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 CHERRY AVE UNIT A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044329",
            "telephone_number": "720-391-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTELLO",
        "first_name": "BLAISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926473",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laert Rapo
• Julie Rappaport
• Sydni Erin Rapson
• John Rasch
• Lisa Gail Raskin, D.C.
• Kirk R Rathburn, D.D.S.
• Richard Glenn Ratliff, PH.D.
• Kimberly Ann Raupp, PT,CHT
• Amelia Sita Ravishankara
• James Scott Ray, D.C.

• Clinical Social Worker in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.