Active NPI
Joanne Block, LCSW
- Clinical Social Worker
- Gainesville, FL
National Provider Identifier
1003013475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW148
- Practice address
- 4131 NW 28TH LN
Suite 6
Gainesville, FL 32606-7432 - Phone
- (352) 375-3001
- Fax
- (352) 375-1003
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW148 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | MT107 | FL |
Addresses
Primary practice location
4131 NW 28TH LN
Suite 6
Gainesville, FL 32606-7432
Mailing address
4131 N.W.. 28TH Lane
Suite 6
Gainesville, FL 32606
Phone (352) 375-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z-0961 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT107 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Diamond PHD PA | Past | Accepting new patients | |
| Beth Shubert, PA | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Gainesville, FL
- NPI 1538430822
-
- Clinical Psychologist
- Gainesville, FL
- NPI 1922278183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1003013475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 N.W.. 28TH LANE",
"address_2": "SUITE 6",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32606",
"telephone_number": "352-375-3001",
"fax_number": "352-375-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 NW 28TH LN",
"address_2": "SUITE 6",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067432",
"telephone_number": "352-375-3001",
"fax_number": "352-375-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW148",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT107",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Z-0961",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.