Sandra Susan Blazek, MSW
NPI 1942721295ActiveIndividual· Social Worker, Clinical· Effingham, IL
Social Worker, Clinical (MSW) in Effingham, Illinois, licensed in NC, with an NPI issued in June 2017. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1942721295 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW |
| Sole proprietor | No |
| NPI issued | Jun 27, 2017 |
| Last updated in NPPES | Mar 28, 2024 |
| Certified by provider | Mar 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | P011740 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IL); Practitioner - Clinical Social Worker (NC) |
|---|
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