Organization Active NPI

Elaine a Blong LCSW PA

  • Clinical Social Worker
  • Germantown, MD
National Provider Identifier
1437467586
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELAINE A BLONG LCSW PA
Practice address
13243 Autumn Mist Cir
Germantown, MD 20874-2138
Phone
(301) 916-9374
Fax
(301) 916-1045
NPI assigned
Sep 22, 2010
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Ms. Elaine A Blong, MSWNPI 1972599629
Title
President
Phone
(301) 916-9374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

13243 Autumn Mist Cir
Germantown, MD 20874-2138

Mailing address

13243 Autumn Mist Cir
Germantown, MD 20874-2138
Phone (301) 916-9374

National Provider Directory

National Provider Directory

Locations

4401 East West Hwy
Ste 201
Bethesda, MD 20814
Phone (301) 384-3631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1437467586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13243 AUTUMN MIST CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742138",
            "telephone_number": "301-916-9374",
            "fax_number": "301-916-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13243 AUTUMN MIST CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742138",
            "telephone_number": "301-916-9374",
            "fax_number": "301-916-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE A BLONG LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "BLONG",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-916-9374",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.