Tia Blue, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14127 Issued in MD

Practice address

320 E Towsontown Blvd
Suite 2W
Towson, MD 21286-5318

Phone

(410) 296-2004

NPI assigned

Dec 9, 2016

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

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Love Talks LLC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1073489118
  NPD Authorized official

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1720522733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E TOWSONTOWN BLVD",
            "address_2": "SUITE 2W",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865318",
            "telephone_number": "410-296-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E TOWSONTOWN BLVD",
            "address_2": "SUITE 2W",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865318",
            "telephone_number": "410-296-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "TIA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latashia Blizzard
• Melissa Shea Bloom, D.P.T
• BLS Diagnostics, LLC
• BLS Diagnostics, LLC
• BLS Diagnostics, LLC
• Albert L Blumberg, MD
• Mary-Rita Elizabeth Blute, C.R.N.P.
• Savannah Kelly Blythe
• Ryan Boarman
• Kwadwo Boateng, MD

• 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 Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.