Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blaise Patrick Roman

Individual provider Clinical Social Worker · NPI 1588568992

Blaise Patrick Roman is a Clinical Social Worker in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2026.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

18310 Montgomery Village Ave Ste 500
Gaithersburg, MD 20879-3553
Phone: (301) 683-9816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 35465 (MD)

Record details

NPI number1588568992
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 7, 2026
Last updated in NPPESOctober 9, 2026
Certification dateOctober 9, 2026

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