DWAN BLAND (LICSW) – Clinical Social Worker, NPI 1104548155

DWAN BLAND (LICSW) is a healthcare provider. based in Framingham, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. LICSW1142845 (MA). The NPI Number for DWAN BLAND (LICSW) is 1104548155

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DWAN BLAND (LICSW)
NPI
1104548155
Phone
(781) 666-2711
Address
61 LINCOLN ST STE 203
Enumeration Date
16 September 2022
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816662711
Graduation Year
2007 (19 years ago)
PAC ID
0941670715
Group Practice PAC ID
2860721362
Professional Enrollment ID
I20230112001464
Address ID
MA017028264FR61XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for DWAN BLAND (LICSW)

  • 61 LINCOLN ST STE 203

    FRAMINGHAM, MA 017028264

    Phone: (781) 666-2711

    Fax: (781) 666-2712

    Type: Mailing

  • 67 UNION ST STE 106

    NATICK, MA 017607700

    Phone: (781) 666-2711

    Fax: (781) 666-2712

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230112001464IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour4711$0
90791Psychiatric diagnostic evaluation1313$0
View full utilization report →

Insurance plans in this area (ZIP 01702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860721362View full group profile
NameSpecialtyState
Clinical Social WorkerRI
Nurse PractitionerMA
Mental Health CounselorRI
Clinical Social WorkerMA
Nurse PractitionerMA
Nurse PractitionerMA
P S Y C H I A T R YMA
Nurse PractitionerMA
Physician AssistantWA
-MA

Reviews

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Frequently asked questions

How do I look up DWAN BLAND (LICSW) by NPI?
Use NPI 1104548155 when you need to reference DWAN BLAND (LICSW) in forms, claims, or directories.
Is DWAN BLAND (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DWAN BLAND (LICSW) treat or focus on?
Patients typically see DWAN BLAND (LICSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for DWAN BLAND (LICSW)?
We surface Framingham, Massachusetts for DWAN BLAND (LICSW) based on available NPPES addresses.
What if Framingham, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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