Blaise Patrick Roman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35465 Issued in MD

Practice address

18310 Montgomery Village Ave Ste 500
Gaithersburg, MD 20879-3553

Phone

(301) 683-9816

NPI assigned

Oct 7, 2026

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1588568992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 500",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793553",
            "telephone_number": "301-683-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 500",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793553",
            "telephone_number": "301-683-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "BLAISE",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "35465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Rogers, OD
• Nirupma Rohatgi, MD
• Carlyanne Phipps Rohde, PSYD
• Constance Rojas Macy
• Dina Rollins, AUD
• Gregory Christopher Romanow, D.M.D.
• Courtney Romanowski
• Elisabeth Anne Romayko, LCSW-C
• Maria Elena Romero, M.D.
• Rodolfo Antonio Romero, PHARMD

• 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 Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.