Active NPI
Jeanine Blumenfeld, Inc.
- Clinical Social Worker
- Nanuet, NY
National Provider Identifier
1134530553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R039862
- Legal business name
- JEANINE BLUMENFELD, INC.
- Practice address
- 12 Pelham Ave
Nanuet, NY 10954-3428 - Phone
- (845) 624-5802
- Fax
- (845) 624-2755
- NPI assigned
- May 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jeanine Marie Blumenfeld, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (845) 624-5802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R039862 | NY | Primary |
Addresses
Primary practice location
12 Pelham Ave
Nanuet, NY 10954-3428
Mailing address
12 Pelham Ave
Nanuet, NY 10954-3428
Phone (845) 624-5802
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400544000000",
"number": "1134530553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PELHAM AVE",
"city": "NANUET",
"state": "NY",
"postal_code": "109543428",
"telephone_number": "845-624-5802",
"fax_number": "845-624-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 PELHAM AVE",
"city": "NANUET",
"state": "NY",
"postal_code": "109543428",
"telephone_number": "845-624-5802",
"fax_number": "845-624-2755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEANINE BLUMENFELD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-20",
"last_updated": "2014-05-20",
"status": "A",
"authorized_official_last_name": "BLUMENFELD",
"authorized_official_first_name": "JEANINE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "845-624-5802",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R039862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.