MEDICARE: CALIE A BLANCO LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	130782-01	NY

General Provider Information

NPI Number	:	1154260578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALIE A BLANCO LMSW

Provider Business Mailing Address
First Line	:	300 TRESSER BLVD APT 7H
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06901-3204
Country	:	US
Telephone Number	:	646-600-3398
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 TRESSER BLVD APT 7H
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06901-3204
Country	:	US
Telephone Number	:	646-600-3398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

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Directions to “ CALIE A BLANCO LMSW” Practice Location

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