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DAVIDRA BAZEMORE-BLUE MSW, LCSW-C
NPI 1124465802
Social Worker in Waldorf, MD

Active since June 04, 2013
3200 CRAIN HWY, SUITE 203, WALDORF, MD 20603(240) 435-4708 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Davidra Bazemore-blue Msw, Lcsw-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVIDRA BAZEMORE-BLUE MSW, LCSW-C (NPI 1124465802) is an individual social worker in Waldorf, Maryland and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1124465802
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDAVIDRA BAZEMORE-BLUECredential: MSW, LCSW-C
Location Address3200 CRAIN HWY, SUITE 203Waldorf, MD 20603-4841
Mailing Address3261 Old Washington Rd Ste 2020Waldorf, MD 20602-3231 · (202) 997-6060
Phone(240) 435-4708
Sole ProprietorNo
Enumeration DateJune 4, 2013
Last NPPES UpdateJanuary 29, 2020
✔ NPI 1124465802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
3200 CRAIN HWY, Waldorf, MD 20603
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Other Identifiers 3

Medicaid589561800MD
Medicaid589561802MD
Medicaid589561803MD

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRI CHOE DPT
Physical Therapist
3200 CRAIN HWY, SUITE 103
WALDORF, MD 20603
Charles County (240) 419-5101
TYWANDA MCLAURIN-JONES PH.D.
Psychologist (Clinical)
3200 CRAIN HWY, SUITE 203
WALDORF, MD 20603
Charles County (301) 860-7755
HOPE COUNSELING SERVICES, LLC
Community/Behavioral Health
3200 CRAIN HWY, SUITE 203
WALDORF, MD 20603
Charles County (240) 207-4557
ABSOLUTE PHYSICAL THERAPY, LLC
Physical Therapist
3200 CRAIN HWY, SUITE 103
WALDORF, MD 20603
Charles County (240) 419-5101
LAURE CECILE GOUDIABY NP
Nurse Practitioner (Family)
3200 CRAIN HWY
WALDORF, MD 20603
Charles County (301) 396-9215
BBT HOME CARE AND STAFFING LLC
In Home Supportive Care
3200 CRAIN HWY, 101
WALDORF, MD 20603
Charles County (301) 645-0040
BLANK-PAGES LLC
Community/Behavioral Health
3200 CRAIN HWY, 203
WALDORF, MD 20603
Charles County (202) 567-9199
QUALITY HEALTHCARE CLINICS LLC
Nurse Practitioner (Family)
3200 CRAIN HWY
WALDORF, MD 20603
Charles County (240) 646-2083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davidra Bazemore-blue's NPI number?

The NPI number for Davidra Bazemore-blue is 1124465802. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Davidra Bazemore-blue located?

Davidra Bazemore-blue practices at 3200 Crain Hwy Suite 203, Waldorf, MD 20603. The listed phone number is (240) 435-4708.

What is Davidra Bazemore-blue's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Davidra Bazemore-blue was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.