Douglas S Blasinski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149022464 Issued in IL

Practice address

304 Wander Way
Lake in the Hills, IL 60156-4707

Phone

(847) 347-0177

NPI assigned

Jun 21, 2016

Last updated

Aug 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

State licenses

Interoperability endpoints

• Direct secure messaging: douglas.blasinski.p1@direct.gefcc.nextgenshare.com

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1891145785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WANDER WAY",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564707",
            "telephone_number": "847-347-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WANDER WAY",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564707",
            "telephone_number": "847-347-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASINSKI",
        "first_name": "DOUGLAS",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022464",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8910-123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "130043-121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Beamsley Higgins, M.A.
• Branden Curtis Benskin, LPC, MA
• Jessica Beuckman, LMT
• Lauren Elizabeth Biestek, DC
• Slawomir Bilanicz
• Emily Block
• Suzanne Claire Bonje, OTR/L
• Tyler James Boutsikakis
• Joshua Larnelle Boyd, LPC
• Molly Boyer, LIMHP

• Clinical Social Worker in Lake in the Hills, IL
• Providers in Lake in the Hills, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.