MS. MARY ELLEN BLONIARZ LCSW NPI 1518026079

NPI Information

NPI: 1518026079
Provider Name: MS. MARY ELLEN BLONIARZ, LCSW
Classification: Social Worker - 1041C0700X
Specialization: Clinical
Entity Type: Individual
PECOS Registration: Yes
Address: 2 TOWER PL
EXECUTIVE PARK
ALBANY, NY
ZIP 12203
Phone: (518) 458-8639

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NPI Details

MS. Mary Ellen Bloniarz, LCSW is a clinical social worker in Albany, NY. The provider is 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. MS. Mary Ellen Bloniarz, LCSW NPI is 1518026079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 TOWER PL
EXECUTIVE PARK
ALBANY, NY
ZIP 12203-735
Phone: (518) 458-8639
Fax: (518) 458-8723

The NPI 1518026079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	038035 LCSW-R	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	77654	OTHER	NEW YORK	MVP VENDOR#
2	133007	OTHER		CDPHP
3	IP 319133	OTHER	NEW YORK	EMPIRE BC-BS
4	NE7822	OTHER	NEW YORK	EMPIREBC-BS PROVIDER ID
5	61745	OTHER	NEW YORK	MVP PROVIDER#
6	7486075	OTHER		GHI#
7	70702	MEDICARE UPIN
8	CC3807	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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