Emily Blazic LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMILY BLAZIC LLC

Practice address

5250 Northland Dr NE Ste D
Grand Rapids, MI 49525-1096

Phone

(503) 314-8045

NPI assigned

May 12, 2025

Organization subpart

No

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

Authorized official

Name

Emily Blazic, LMSW

Title

Authorized Official

Phone

(503) 314-8045

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1730979865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3794 ALDEN NASH AVE NE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 NORTHLAND DR NE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251096",
            "telephone_number": "503-314-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY BLAZIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "BLAZIC",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "503-314-8045",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd A Emery, MD
• Mimi Emig, M.D.
• Megan Emigh
• Michael Emiley, D.P.M.
• Terrence J Emiley, DPM
• Emily Brouwers Counseling LLC
• Emily Fortuna Therapy
• Emmanuel Hospice
• Emmanuel Hospice
• David Emmenecker

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.