Basic Information
Provider Information
NPI: 1437210291
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BLESSING
FirstName: GRIZELL
MiddleName: EMPERATRIZ
NamePrefix: MS.
NameSuffix:  
Credential: MSW, LICSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BALDIZON
OtherFirstName: GRIZELL
OtherMiddleName: EMPERATRIZ
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: MSW, LICSW
OtherLastNameType: 5
Mailing Information
Address1: 2 WRAMC ROOM 2J38
Address2: 6900 GEORGIA AVENUE, NW
City: WASHINGTON
State: DC
PostalCode: 203070001
CountryCode: US
TelephoneNumber: 2027827250
FaxNumber: 2027823800
Practice Location
Address1: WRAMC DEPARTMENT OF SOCIAL WORK
Address2: 6900 GEORGIA AVENUE, NW, BUILDING 6
City: WASHINGTON
State: DC
PostalCode: 203070001
CountryCode: US
TelephoneNumber: 2027826467
FaxNumber: 2027824922
Other Information
ProviderEnumerationDate: 12/13/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XLC3000879DCY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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