DENIS EDUARDO BLUMBERG LCSW P.C. NPI 1851696397

NPI Information

NPI: 1851696397
Provider Name: DENIS EDUARDO BLUMBERG, LCSW, P.C.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5619 METROPOLITAN AVE
RIDGEWOOD, NY
ZIP 11385
Phone: (718) 541-0884
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DENIS EDUARDO BLUMBERG, LCSW, P.C. is a mental health counselor in Ridgewood, NY. DENIS EDUARDO BLUMBERG, LCSW, P.C. NPI is 1851696397. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5619 METROPOLITAN AVE
RIDGEWOOD, NY
ZIP 11385-958
Phone: (718) 541-0884

The provider's authorized official is Denis Eduardo Blumberg .
The authorized official title is Lcsw-r and has the following contact phone number (718) 541-0884.

The enumeration date for this NPI number is 1/13/2011 and was last updated on 7/31/2023.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R0707661	NEW YORK	No
2	104100000X	Social Worker		R0707661	NEW YORK	No
3	101YM0800X	Counselor	Mental Health	R0707661	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	02847643	MEDICAID	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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