Miriam Lerer Blasiak

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC3000781 Issued in DC

Practice address

5028 Wisconsin Ave NW
Suite 400
Washington, DC 20016-4118

Phone

(202) 537-6050

Fax

(202) 237-2730

NPI assigned

Mar 14, 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 names 1

• Mimi Lerer Blasiak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487787552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14312 CARTWRIGHT WAY",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208784809",
            "telephone_number": "301-279-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 WISCONSIN AVE NW",
            "address_2": "SUITE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164118",
            "telephone_number": "202-537-6050",
            "fax_number": "202-237-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASIAK",
        "first_name": "MIRIAM",
        "middle_name": "LERER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC3000781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIMI",
            "last_name": "BLASIAK",
            "middle_name": "LERER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory Michael Blanton, MD
• James Scott Blanton
• Francisco Javier Blas Lopez
• Mary Hope Blase, APRN CNS
• Marie K Blasi
• Anna Blask, MD
• Christine T Blasser, CNS
• Khaila Blassingame
• Lenora Blathers, DDS
• Benjamin C. Blatt, MD

• All providers in Washington, DC
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.