Individual provider Active NPI

Roslyn W Block, LCSW

  • Psychologist
  • West Babylon, NY
National Provider Identifier
1124000591
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
R0314071 Issued in NY
Practice address
17 Fordham Rd
West Babylon, NY 11704-5803
Phone
(631) 321-7011
Fax
(631) 669-8532
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X R0314071 NY Primary
Clinical Social Worker 1041C0700X R0314071 NY

Addresses

Primary practice location

17 Fordham Rd
West Babylon, NY 11704-5803

Mailing address

17 Fordham Rd
West Babylon, NY 11704-5803
Phone (631) 321-7011

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
I20060119000106 NY Practitioner - Clinical Social Worker 0941224893 Practice locations: W Babylon, NY; West Babylon, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 Fordham Rd
West Babylon, NY 11704-5803
Phone (631) 321-7011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0314071NYMDPsychologist
031407NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Soul Community Counseling Clinical PastSince Apr 18, 2019 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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124000591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FORDHAM RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045803",
            "telephone_number": "631-321-7011",
            "fax_number": "631-669-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FORDHAM RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045803",
            "telephone_number": "631-321-7011",
            "fax_number": "631-669-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "ROSLYN",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "R0314071",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0314071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.