Jane Kornbluth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P060706 Issued in NY

Practice address

330 West 58TH Street
Suite 508
New York, NY 10019-1819

Phone

(212) 365-8622

Fax

(212) 243-1208

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1063594901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WEST 12TH STREET",
            "address_2": "APARTMENT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118208",
            "telephone_number": "212-365-8622",
            "fax_number": "212-243-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WEST 58TH STREET",
            "address_2": "SUITE 508",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191819",
            "telephone_number": "212-365-8622",
            "fax_number": "212-243-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBLUTH",
        "first_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P060706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kornblit
• Edward C Kornbluh, DDS
• Sarah Nicole Kornbluh
• Amanda Kornblum
• Arthur A Kornbluth, MD
• Saundra Kornbluth
• Victoria Kornecki
• Anand Venkata Ramakrishna Kornepati, MD
• Judy Korner, M.D.
• Matthew E. Korner, PSY.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 Oct 19, 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.

Verify at the official NPI Registry.