Organization Active NPI

Lorraine J. Blum, LCSW PA

  • Clinical Social Worker
  • Delray Beach, FL
National Provider Identifier
1124298534
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1194 Issued in FL
Legal business name
LORRAINE J. BLUM, LCSW PA
Practice address
6352 Overland Dr
Delray Beach, FL 33484-1574
Phone
(561) 866-9041
Fax
(561) 495-4994
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Authorized official

Name
Terri Hirschberg
Title
Office Manager
Phone
(954) 784-2845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW1194 FL Primary

Addresses

Primary practice location

6352 Overland Dr
Delray Beach, FL 33484-1574

Mailing address

6352 Overland Dr
Delray Beach, FL 33484-1574
Phone (561) 866-9041

Other identifiers 1

IdentifierTypeStateIssuer
Z1744OtherFLMEDICARE PTAN NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1124298534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6352 OVERLAND DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841574",
            "telephone_number": "561-866-9041",
            "fax_number": "954-785-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6352 OVERLAND DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841574",
            "telephone_number": "561-866-9041",
            "fax_number": "561-495-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE J. BLUM, LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "HIRSCHBERG",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-784-2845"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "Z1744",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.