Active NPI
Andrea Blum, LMSW-ACP
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1003928367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 37210
- Practice address
- 5402 Arapaho Rd
Dallas, TX 75248-6905 - Phone
- (972) 437-9950
- Fax
- (972) 437-1988
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 37210 | TX | Primary |
Addresses
Primary practice location
5402 Arapaho Rd
Dallas, TX 75248-6905
Mailing address
5402 Arapaho Rd
Dallas, TX 75248-6905
Phone (972) 437-9950
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 |
|---|---|---|---|
| 37210 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003928367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5402 ARAPAHO RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752486905",
"telephone_number": "972-437-9950",
"fax_number": "972-437-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5402 ARAPAHO RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752486905",
"telephone_number": "972-437-9950",
"fax_number": "972-437-1988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "ANDREA",
"credential": "LMSW-ACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "37210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.