GEORGE LEO BLANDFORD – Clinical Social Worker, NPI 1790029601

GEORGE LEO BLANDFORD is a healthcare provider. based in Wellfleet, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 221172 (MA). The NPI Number for GEORGE LEO BLANDFORD is 1790029601

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE LEO BLANDFORD
NPI
1790029601
Phone
(508) 349-3131
Address
3130 State Hwy Rte 6
Enumeration Date
15 November 2012
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084321400
Graduation Year
2015 (11 years ago)
PAC ID
4789949249
Group Practice PAC ID
4385554971
Professional Enrollment ID
I20180604001846
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for GEORGE LEO BLANDFORD

  • 3130 State Hwy Rte 6

    Wellfleet, MA 026677402

    Phone: (508) 349-3131

    Type: Location

  • 710 Main St

    Harwich Port, MA 026461931

    Phone: (508) 905-2800

    Type: Location

  • 49 HARRY KEMP WAY

    PROVINCETOWN, MA 026571618

    Phone: (508) 487-9395

    Type: Location

  • PO BOX 598

    HARWICH PORT, MA 026460598

    Phone: (508) 905-2800

    Fax: (508) 240-0499

    Type: Mailing

  • 889 W Main St

    Centerville, MA 026323067

    Phone: (508) 771-2402

    Type: Location

  • 269 Chatham Rd

    Harwich, MA 026453309

    Phone: (508) 432-1400

    Type: Location

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: 2018-06-04

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
I20180604001846IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02667)

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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: 4385554971View full group profile
NameSpecialtyState
Internal MedicineMA
Nurse PractitionerMA
Internal Medicine, Pediatric MedicineMA
Physician AssistantOR
O P T O M E T R YMA
Physician AssistantMA
Nurse PractitionerMA
-MA
-MA
Nurse PractitionerRI

Reviews

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Frequently asked questions

What federal number belongs to GEORGE LEO BLANDFORD?
The federal identifier for GEORGE LEO BLANDFORD is NPI 1790029601.
Does this profile mean GEORGE LEO BLANDFORD is currently active?
Yes — GEORGE LEO BLANDFORD appears active in the national provider directory.
Can you summarize GEORGE LEO BLANDFORD's specialty in plain language?
Clinically, the directory lists GEORGE LEO BLANDFORD with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place GEORGE LEO BLANDFORD?
The snapshot lists Wellfleet, Massachusetts for GEORGE LEO BLANDFORD; download NPPES for the complete set.
What if Wellfleet, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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