Katharine Blakeslee, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

07983 Issued in MD

Practice address

7801 York Rd
Suite 215
Towson, MD 21204-7446

Phone

(410) 337-7772

Fax

(410) 337-8729

NPI assigned

Feb 13, 2007

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

Other identifiers 1

Other names 1

• Katharine Gust Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Lynch Physical Therapy, LLC

  • Physical Therapist
  • Towson, MD
  • NPI 1861042954
  NPD (past)
• The Resource Group

  • Cognitive & Behavioral Psychologist
  • Towson, MD
  • NPI 1235271339
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1457493579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 YORK RD",
            "address_2": "SUITE 215",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047446",
            "telephone_number": "410-337-7772",
            "fax_number": "410-337-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD",
            "address_2": "SUITE 215",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047446",
            "telephone_number": "410-337-7772",
            "fax_number": "410-337-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKESLEE",
        "first_name": "KATHARINE",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "QY46",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINE",
            "last_name": "GUST",
            "credential": "LCSWC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Taylor Paige Blake, OD
• Shennoa Rachelle Blake, RN
• Blaker & Blaker Chiropractic PA
• Charles Allen Blaker, DOCTOR OF CHIROPRACT
• Frederick Keen Blaker, DOCTOR OF CHIROPRACT
• Alec Mitchel Blanca, PT, DPT
• Melinda Blanchard
• Morgan Christine Blasetto, PA-C
• Olivia Blazic, MA, CAS, NCSP
• Samuel Blechman, MT

• Clinical Social Worker in Towson, MD
• Providers in Towson, 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 Aug 11, 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.