OrganizationActive
Emily Blazic LLC
NPI 1730979865 · Clinical Social Worker · Grand Rapids, MI
Provider details
- NPI number
- 1730979865
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Emily Blazic, Authorized Official(503) 314-8045
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
5250 Northland Dr Ne Ste D
Grand Rapids, MI 49525-1096
Phone: (503) 314-8045
Street-level locationGet directions
Mailing address
3794 Alden Nash Ave Ne
Lowell, MI 49331-8592
Registry dates
- Enumerated
- 2025-05-12
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.