Active NPI
Inga Patrice Blazio, MSW, LGSW
- Social Worker
- Waldorf, MD
National Provider Identifier
1487969986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- G12201
- Practice address
- 80 Industrial Park Dr
2B
Waldorf, MD 20602-2760 - Phone
- (240) 462-1016
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | G12201 | MD | Primary |
Addresses
Primary practice location
80 Industrial Park Dr
2B
Waldorf, MD 20602-2760
Mailing address
80 Industrial Park Dr
2B
Waldorf, MD 20602-2760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G12201 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1487969986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 INDUSTRIAL PARK DR",
"address_2": "2B",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 INDUSTRIAL PARK DR",
"address_2": "2B",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022760",
"telephone_number": "240-462-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZIO",
"first_name": "INGA",
"middle_name": "PATRICE",
"name_prefix": "Ms.",
"credential": "MSW, LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "G12201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.