Blaise S Freeland, LSW, LICDC is a
Counselor - Addiction (substance Use Disorder) based in Cleveland, Ohio. Blaise S Freeland is licensed to practice in Ohio (license number LICDC.162573) and her current practice location is
5209 Detroit Ave, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 325-9109.
NPI number for Blaise S Freeland is 1285215749 and her current mailing address is 248 Main St Apt 242, Westlake, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285215749.
Healthcare Provider's Profile
| Full Name | Blaise S Freeland |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 5209 Detroit Ave, Cleveland, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285215749
- Provider Enumeration Date: 04/16/2021
- Last Update Date: 06/24/2024
Medical Identifiers
Medical identifiers for Blaise S Freeland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285215749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | S.2310054 (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162573 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blaise S Freeland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Blaise S Freeland, LSW, LICDC
248 Main St Apt 242,
Westlake, OH 44145-8163
Ph: (863) 393-5962 | Blaise S Freeland, LSW, LICDC
5209 Detroit Ave,
Cleveland, OH 44102-2224
Ph: (216) 325-9109 |
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