Blue Star Integrative Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUE STAR INTEGRATIVE HEALTH

Practice address

9841 Washingtonian Blvd FL 5
Gaithersburg, MD 20878-5389

Phone

(240) 813-9841

Fax

(240) 844-0102

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Peter John Freudenberger, LCSW-CNPI 1811489370

Title

Founder

Phone

(513) 600-3156

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter John Freudenberger, LCSW, LCSW-C

  • Clinical Social Worker
  • Gaithersburg, MD
  • NPI 1811489370
  NPD Authorized official
• Maria Rosa Josephine Bruno, MSW, LMSW

  • Social Worker
  • Gaithersburg, MD
  • NPI 1174320485
  NPD

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1396552014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 WASHINGTONIAN BLVD FL 5",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785389",
            "telephone_number": "240-813-9841",
            "fax_number": "240-844-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 WASHINGTONIAN BLVD FL 5",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785389",
            "telephone_number": "240-813-9841",
            "fax_number": "240-844-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "FREUDENBERGER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "513-600-3156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan B. Blair, LCMFT, CCDP
• Kya Lee Bland
• Blissful Care Alliance, LLC.
• Linda L Bloch, LCSW-C
• Braedan Bloom, PT,DPT
• Peter Jan Bluvas Jr., M.D.
• Mary Fowaah Boateng, DNP, FNP
• Susan Boche-Diaz, LPN
• Bodytech Physical Medicine & Wellnes
• Kaila Bolden

• Clinical Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, 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 Dec 16, 2024; 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.