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SANDRA SUSAN BLAZEK MSW
NPI 1942721295
Social Worker - Clinical in Effingham, IL

Active since June 27, 2017PECOS Enrolled
900 W TEMPLE AVE STE 208, EFFINGHAM, IL 62401(217) 342-0211(217) 342-0232 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2024, Jun 27, 2017 (2 updates tracked since 2017).

About Sandra Susan Blazek Msw NPPES

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

SANDRA SUSAN BLAZEK MSW (NPI 1942721295) is an individual clinical provider in Effingham, Illinois, licensed in North Carolina (P011740) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942721295
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA SUSAN BLAZEKCredential: MSW
Location Address900 W TEMPLE AVE STE 208Effingham, IL 62401-2187
Mailing Address900 W Temple Ave Ste 208Effingham, IL 62401-2187 · (217) 342-0211 · Fax (217) 342-0232
Phone(217) 342-0211
Fax(217) 342-0232
Sole ProprietorNo
Enumeration DateJune 27, 2017
Last NPPES UpdateMarch 28, 20242 updates tracked since enumeration
NPPES CertifiedMarch 28, 2024
✔ NPI 1942721295 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 NC · P011740
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.
900 W TEMPLE AVE STE 208, Effingham, IL 62401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Susan Blazek Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Sandra Blazek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Healthcare Foundation Inc
Same address
Federally Qualified Health Center (FQHC)
900 W TEMPLE AVE, SUITE 208
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
NPI 1154651776 (217) 342-0211
Ahs Il Medical Group LLC
91 mi
Clinic/Center
2100 MADISON AVE
Granite City, IL 62040
  • Reassigned Medicare billing, Illinois enrollment
  • 107 clinicians in this Medicare group
NPI 1659098101 (818) 666-0602
Carolina Outreach, LLC
409 mi
Clinical
18 REGENT PARK BLVD STE A
Asheville, NC 28806
  • Reassigned Medicare billing, North Carolina enrollment
  • 62 clinicians in this Medicare group
NPI 1518110139 (828) 505-1762

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 342-0211
MR. JUSTIN E HAMPTON LCSW
Social Worker (Clinical)
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 342-0211
NICOLE MCCOY MA
Counselor (Mental Health)
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 238-5700
MS. DANA MARIE RUHOLL APN
Nurse Practitioner (Family)
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (618) 332-0953
DR. HARITHA NALLAPARAJU DMD
Dentist (General Practice)
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 342-0211
REBEKAH E DOTY FNP-C
Nurse Practitioner (Family)
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 342-0211
COLES COUNTY MENTAL HEALTH ASSOCIATION, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
900 W TEMPLE AVE STE 208
EFFINGHAM, IL 62401
Effingham County (217) 238-5700

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 Sandra Blazek's NPI number?

The NPI number for Sandra Blazek is 1942721295. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Sandra Blazek located?

Sandra Blazek practices at 900 W Temple Ave Ste 208, Effingham, IL 62401. The listed phone number is (217) 342-0211.

What is Sandra Blazek's specialty?

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

Is Sandra Blazek enrolled in Medicare?

Yes. Sandra Blazek is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sandra Blazek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Blazek reassigns Medicare benefits to 3 organizations: Southern Illinois Healthcare Foundation Inc (Effingham, IL), Ahs Il Medical Group LLC (Granite City, IL) and Carolina Outreach, LLC (Asheville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Blazek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Blazek accept?

Health plans from Ambetter Health list Sandra Blazek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra Blazek was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.