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

Q: 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.

Q: What is Sandra Blazek's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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 from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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))