Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blaise Rastello, LCSW

Individual provider Clinical Social Worker · NPI 1366981458

Blaise Rastello, LCSW is a Clinical Social Worker in Boulder, Colorado. Licensed in California and Colorado. Registered with an NPI since 2017.

Licensed in
CA, CO
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

951 Cherry Ave Unit A
Boulder, CO 80304-4329
Phone: (720) 391-9951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 100200 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW.09926473 (CO)

Record details

NPI number1366981458
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 22, 2017
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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