Erica Octavia Blas-Marquez, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

36 N Morris Ave
Farmingville, NY 11738-1129

Phone

(934) 216-8349

NPI assigned

Apr 2, 2024

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)

Not enrolled

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1093567414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N MORRIS AVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381129",
            "telephone_number": "934-216-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N MORRIS AVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381129",
            "telephone_number": "934-216-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAS-MARQUEZ",
        "first_name": "ERICA",
        "middle_name": "OCTAVIA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reinaldo Bello
• Amy G Berk, RN
• Michael Gerard Bernaudo, NP
• Mili Biju, NURSE PRACTITIONER
• Diana Binder
• Albert Bonanno, DDS
• Tamika Bontemps
• Ashley M Boruch
• Susan Joan Bourbin, LACSW-R
• Theresa F Brandow, MS

• Clinical Social Worker in Farmingville, NY
• Providers in Farmingville, 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 Apr 2, 2024; 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.