MEDICARE: JOANIE E BLAMER 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	1041C0700X	Clinical Social Worker	6801086319	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6801086319	OTHER	MI	STATE LICENSE NUMBER
2	JB077993	OTHER	MI	3RD PARTY IDENTIFIER

General Provider Information

NPI Number	:	1558335836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANIE E BLAMER LMSW

Provider Business Mailing Address
First Line	:	201 N MITCHELL ST
Second Line	:
City	:	CADILLAC
State	:	MI
Zip	:	49601-1859
Country	:	US
Telephone Number	:	231-241-5909
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 N MITCHELL ST STE 204
Second Line	:
City	:	CADILLAC
State	:	MI
Zip	:	49601-1859
Country	:	US
Telephone Number	:	231-884-0028
Fax Number	:	888-977-1502

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	12/01/2025

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Directions to “ JOANIE E BLAMER LMSW” Practice Location

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