Susan Lee Blum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077739 Issued in NY

Practice address

771 W End Ave Apt 7C
New York, NY 10025-5538

Phone

(646) 234-3027

NPI assigned

Dec 11, 2006

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blanton-Peale Institute

  • Mental Health Counselor
  • New York City, NY
  • NPI 1225195787
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1033279062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 WEST END AVENUE",
            "address_2": "APARTMENT 7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255538",
            "telephone_number": "646-234-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 W END AVE APT 7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255538",
            "telephone_number": "646-234-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Blum, MD
• Rye Dario Pianko Blum, ANP, WHNP
• Sarah Blum, LCSW
• Sonja Blum, MD, PHD
• Stephanie Blum, OTR/L
• Susannah Irene Blum, MS SLP-CCC
• Dana M Blumberg, MD
• Isabel S Blumberg, M.D.
• Laurence Blumberg, M.D.
• Phillip Blumberg, PH.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.