Individual provider Active NPI

Blanca Victoria Faber, MSW, ACSW, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1003829698
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5581533 Issued in NY
Practice address
130 W Kingsbridge Rd
J. J. Peters VA Medical Center
Bronx, NY 10468-3904
Phone
(718) 584-9000
Fax
(718) 741-4571
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5581533 NY Primary

Addresses

Primary practice location

130 W Kingsbridge Rd
J. J. Peters VA Medical Center
Bronx, NY 10468-3904

Mailing address

130 W. Kingsbridge Rd.
J. J. Peters VA Medical Center
Bronx, NY 10468
Phone (718) 584-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5581533NYMDClinical Social Worker
049517NYMDPsychiatric Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003829698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W. KINGSBRIDGE RD.",
            "address_2": "J. J. PETERS VA MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10468",
            "telephone_number": "718-584-9000",
            "fax_number": "718-741-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "address_2": "J. J. PETERS VA MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-584-9000",
            "fax_number": "718-741-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "BLANCA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "MSW, ACSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "5581533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.