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ROBERT W. BLAZICH MSW
NPI 1710005483
Social Worker - Clinical in Mequon, WI

Active since March 27, 2007
11501 N PORT WASHINGTON RD, SUITE 202, MEQUON, WI 53092(262) 241-7778(262) 241-1012 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert W. Blazich Msw NPPES

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

ROBERT W. BLAZICH MSW (NPI 1710005483) is an individual clinical provider in Mequon, Wisconsin, licensed in Wisconsin (2498-123) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1710005483
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROBERT W. BLAZICHCredential: MSW
Location Address11501 N PORT WASHINGTON RD, SUITE 202Mequon, WI 53092-3465
Mailing Address11501 N Port Washington Rd, Suite 202Mequon, WI 53092-3465 · (262) 241-7778 · Fax (262) 241-1012
Phone(262) 241-7778
Fax(262) 241-1012
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710005483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 2498-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11501 N PORT WASHINGTON RD, Mequon, WI 53092
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Other Providers at the Same Location NPPES 19

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

DR. CHARLES MATHEW LODL PH.D.
Psychologist
11501 N PORT WASHINGTON RD, SUITE 210
MEQUON, WI 53092
Ozaukee County (262) 241-8901
DR. JEFFREY E TAXMAN M.D.
Psychiatry & Neurology (Psychiatry)
11501 N PORT WASHINGTON RD, G30
MEQUON, WI 53092
Ozaukee County (262) 241-8100
NEWPORT PROFESSIONALS LTD
Psychiatry & Neurology (Psychiatry)
11501 N PORT WASHINGTON RD, G30
MEQUON, WI 53092
Ozaukee County (262) 241-8100
KATZ-GILBERTSON PSYCHOTHERAPY ASSOCIATES, LLC
Psychologist (Clinical)
11501 N PORT WASHINGTON RD, SUITE 218
MEQUON, WI 53092
Ozaukee County (262) 240-9620
MR. STEPHEN ANDREW GILBERTSON LIC PSYCHOLOGIST
Psychologist (Clinical)
11501 N PORT WASHINGTON RD, SUITE 218
MEQUON, WI 53092
Ozaukee County (262) 240-9620
LIFE ADVENTURE THERAPIES, LLC
Counselor (Mental Health)
11501 N PORT WASHINGTON RD, SUITE G-30
MEQUON, WI 53092
Ozaukee County (262) 241-9881
DR. KENT LAWRENCE DAVIES DDS
Dentist
11501 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 241-8880
MEQUON CLINICAL ASSOCIATES, SC
Psychiatry & Neurology (Psychiatry)
11501 N PORT WASHINGTON RD, SUITE 202
MEQUON, WI 53092
Ozaukee County (262) 241-8100

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 Robert Blazich's NPI number?

The NPI number for Robert Blazich is 1710005483. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Robert Blazich located?

Robert Blazich practices at 11501 N Port Washington Rd Suite 202, Mequon, WI 53092. The listed phone number is (262) 241-7778.

What is Robert Blazich's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Robert Blazich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.