Active NPI
Marcia Blank, LCSW
- Social Worker
- Roslyn Heights, NY
National Provider Identifier
1154461879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R13959
- Practice address
- 46 Barberry LN
Roslyn Heights, NY 11577-1502 - Phone
- (516) 621-4278
- Fax
- (516) 621-4275
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R13959 | NY | Primary |
Addresses
Primary practice location
46 Barberry LN
Roslyn Heights, NY 11577-1502
Mailing address
46 Barberry LN
Roslyn Heights, NY 11577-1502
Phone (516) 621-4278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7493669 | Other | NY | EMPIRE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R13959 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154461879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 BARBERRY LN",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771502",
"telephone_number": "516-621-4278",
"fax_number": "516-621-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 BARBERRY LN",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771502",
"telephone_number": "516-621-4278",
"fax_number": "516-621-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANK",
"first_name": "MARCIA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R13959",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "7493669",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.