Lindsey Jade Blades, LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

14286 Issued in MD

Practice address

133 Defense Hwy Ste 213
Annapolis, MD 21401-8907

Phone

(410) 215-9122

NPI assigned

Mar 25, 2009

Last updated

Jan 10, 2022By the provider in NPPES

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

Other names 1

• Ms. Lindsey Jade McGlothlin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 14, 2024 through Feb 14, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1740422518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DEFENSE HWY STE 213",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018907",
            "telephone_number": "410-215-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 DEFENSE HWY STE 213",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018907",
            "telephone_number": "410-215-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLADES",
        "first_name": "LINDSEY",
        "middle_name": "JADE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "14286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "MCGLOTHLIN",
            "middle_name": "JADE",
            "prefix": "MS.",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.