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NPI Code Detail

MEDICARE: TIANA BLANDING LCSWA

MEDICARE: TIANA BLANDING LCSWA
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
11041C0700XClinical Social WorkerP023411NC

General Provider Information

NPI Number : 1811848179
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANA BLANDING LCSWA
Provider Business Mailing Address
First Line : 615 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6431
Country : US
Telephone Number : 910-343-0145
Fax Number : 910-341-5779
Provider Business Practice Location Address
First Line : 1414 MEDICAL CENTER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7505
Country : US
Telephone Number : 910-790-9949
Fax Number : 910-341-5779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/05/2026

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Directions to “ TIANA BLANDING LCSWA” Practice Location

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