Victoria Elizabeth Blazejewski, LSW

Individual provider Active NPI Clinical Social Worker · Yardley, PA

NPI 1659130474 · NPPES record last updated Mar 14, 2024

Key facts

NPI
1659130474
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW141006 (PA)
Practice address
105 Floral Vale Blvd
Yardley, PA 19067-5522
Phone
(855) 765-6399
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW141006PAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW141006 PA Yes

Addresses

Primary practice location

105 Floral Vale Blvd
Yardley, PA 19067-5522

Mailing address

3100 Grant Ave Apt C33
Philadelphia, PA 19114-2523
Phone (215) 200-7005

Other providers in Yardley, PA

All providers in Yardley, PA · Clinical Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.