Individual provider · Type 1 NPI
Blaise Patrick Roman
Clinical Social Worker · Gaithersburg, MD
Practice location
18310 Montgomery Village Ave Ste 500
Gaithersburg, MD 20879-3553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 35465 (MD) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
6 other providers at this address
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- Brittany Kristen Lewis-Fooks, LCPCProfessional Counselor Gaithersburg, MD NPI 1649038001
- Paris Louise Franklin, LGPCMental Health Counselor Gaithersburg, MD NPI 1205731064
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About NPI 1588568992
Blaise Patrick Roman's National Provider Identifier is 1588568992, issued on Oct 7, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gaithersburg, MD. The record was last updated on Oct 9, 2026.