IndividualActive
Davidra Bazemore-Blue, MSW, LCSW-C
NPI 1124465802 · Social Worker · Waldorf, MD
Provider details
- NPI number
- 1124465802
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LCSW-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3200 Crain Hwy
Suite 203
Waldorf, MD 20603-4841
Phone: (240) 435-4708
Street-level locationGet directions
Mailing address
3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231
Registry dates
- Enumerated
- 2013-06-04
- Last updated
- 2020-01-29
- Certified
- 2020-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.