Jed Daniel Blore, PHD, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC60943169 Issued in WA

Practice address

2033 6TH Ave Ste 826
Seattle, WA 98121-2593

Phone

(206) 414-8918

NPI assigned

Mar 10, 2022

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1821746769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 6TH AVE STE 826",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212593",
            "telephone_number": "206-414-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 6TH AVE STE 826",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212593",
            "telephone_number": "206-414-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1732 18th Ave Apt I",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981222758",
            "country_code": "US",
            "telephone_number": "206-612-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLORE",
        "first_name": "JED",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60943169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Bloomfield, DPT
• Tiffany J Bloomingdale, ND
• Dale S Bloomquist, DDS
• Joshua Bloomstein
• Margaret Bloor, PA-C
• Stephanie Ann Blose
• Albert Paul Bloss, D.D.S.
• Christopher David Blosser, M.D.
• Madeline Rose Blosser, ARNP
• Blossom Through Therapy, PLLC

• Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.