Blaise S Freeland, LSW, LICDC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Cleveland, Ohio. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
5209 Detroit Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 325-9109.
Blaise S Freeland is licensed to practice in Ohio (license number LICDC.162573) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 | Mental Health Counselor |
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| Experience | 9 Years |
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| Location | 5209 Detroit Ave, Cleveland, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Blaise S Freeland graduated from medical school in 2017
NPI Data:
- NPI Number: 1285215749
- Provider Enumeration Date: 04/16/2021
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921583485
- Enrollment ID: I20260401003678
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 |
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| 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
enrolled with medicare and thus, if eligible, can 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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