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Gregory P Blume , LCSW

Social Worker - Clinical β€’ Appleton, WI

Deactivated NPI 1891965141 Deactivated in NPPES Male Practitioner
Practice location in NPPES

444 N Westhill Blvd
Appleton, WI 549145715

Phone: 9207507036

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of October 22, 2026; the reason is not published. The records below are historical. They do not show whether Gregory Blume currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 03, 2008
NPI Deactivation Date October 22, 2026
NPI Active Period 2008 – 2026

Practice Location & Contact Primary Location

Practice Address

444 N Westhill Blvd

Appleton, WI 549145715

Telephone 9207507036
Organization at the Same NPPES Address or Phone
Thedacare, Incorporated Facility NPI 1477600567

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Appleton and Wisconsin

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES WI 3305-123

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
39203900 (WI)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1417941071

Doctor of Philosophy (Ph.D.)

Jean Mandel , MSSW

Social Worker

NPI 1336267160
Dr. Mark Rovick , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003866864

Doctor of Osteopathic Medicine (D.O.)

NPI 1720155328

Doctor of Psychology (Psy.D.)

NPI 1801281415

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated October 22, 2026

NPPES lists this NPI as deactivated as of October 22, 2026; the reason is not published.

βœ…
NPI Profile Active February 27, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 27, 2013

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507036)

πŸ“
Business Mailing Address (Initial Record) February 27, 2013

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507036)

πŸ‘€
Provider Name / Credentials (Initial Record) February 27, 2013

Recorded as GREGORY BLUME, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2013

Social Worker (license number reported to NPPES: WI 3305-123)

🟒
Initial NPI Registration & Enumeration March 03, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891965141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2008
Last Update: February 27, 2013
Deactivation Date: October 22, 2026
Sole Proprietor: No

Other Social Worker - Clinicals in Appleton

All Social Worker - Clinicals in Appleton

Mailing Address

444 N Westhill Blvd

Appleton, WI 549145715

Phone: 9207507036

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.