Individual provider Active NPI

Barbara Rae Block, LCSW

  • Clinical Social Worker
  • Valhalla, NY
National Provider Identifier
1053332718
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-043696 Issued in NY
Practice address
420 Columbus Ave Ste 308
Valhalla, NY 10595-1382
Phone
(914) 773-1851
Fax
(914) 769-3156
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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 R-043696 NY Primary

Addresses

Primary practice location

420 Columbus Ave Ste 308
Valhalla, NY 10595-1382

Mailing address

420 Columbus Ave Ste 308
Valhalla, NY 10595-1382
Phone (914) 773-1851

Other identifiers 1

IdentifierTypeStateIssuer
134074215OtherFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000151 NY Practitioner - Clinical Social Worker 5092975631 Practice locations: Valhalla, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

420 Columbus Ave
Suite 308
Valhalla, NY 10595-1382
Phone (914) 773-1851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-043696NYMDClinical Social Worker
043696NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John B Robbins MD PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1053332718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 COLUMBUS AVE STE 308",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951382",
            "telephone_number": "914-773-1851",
            "fax_number": "914-769-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COLUMBUS AVE STE 308",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951382",
            "telephone_number": "914-773-1851",
            "fax_number": "914-769-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "BARBARA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-043696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "134074215",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.