Individual provider Active NPI

Janet D Bliss, MSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1083817282
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P0378461 Issued in NY
Practice address
2780 Schurz Ave # 1V
Bronx, NY 10465-3234
Phone
(914) 643-5385
Fax
(914) 636-3938
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 239921 NY
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X P0378461 NY Primary

Addresses

Primary practice location

2780 Schurz Ave # 1V
Bronx, NY 10465-3234

Mailing address

1255 North Ave Apt 1V
New Rochelle, NY 10804-2636
Phone (914) 435-3856

Other identifiers 3

IdentifierTypeStateIssuer
037846OtherNYLCSW
P2485129OtherOXFORD
1083817282OtherNYNPI

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
I20100406000461 NY Practitioner - Clinical Social Worker 9032245741 Practice locations: Mamaroneck, NY; Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2780 Schurz Ave
Bronx, NY 10465-3234
Phone (914) 643-5385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P0378461NYMDClinical Social Worker
037846NYMDGeneral Practice Dentistry
239921NYMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Counseling Center Inc Clinical PastSince Aug 21, 2014 Accepting new patients
Preston Center of Compassion Clinical PastSince May 1, 2012 Accepting new patients

Organizations & group practices 2

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1083817282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 NORTH AVE APT 1V",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042636",
            "telephone_number": "914-435-3856",
            "fax_number": "914-684-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SCHURZ AVE # 1V",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653234",
            "telephone_number": "914-643-5385",
            "fax_number": "914-636-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "JANET",
        "middle_name": "D",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "239921",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P0378461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "037846",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2485129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083817282",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.