Elaine Bluestein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000418 Issued in CT

Practice address

52 Beach Rd
Suite 104
Fairfield, CT 06824

Phone

(203) 254-2000

Fax

(203) 255-3126

NPI assigned

Nov 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1164596847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BEACH RD",
            "address_2": "SUITE 104",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-254-2000",
            "fax_number": "203-255-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BEACH RD",
            "address_2": "SUITE 104",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-254-2000",
            "fax_number": "203-255-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUESTEIN",
        "first_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1272864",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Jacqueline Blau, LPC, NCC, JD, MA
• Nicholas Alfred Blondin, M.D.
• Katherine Alexis Bloom, M.D.
• Todd Evan Bloom, M.S., D.D.S.
• Blooming Bonds Therapy LLC
• Harvey Jay Bluestein, M.D.
• John Boamah Jr., DC
• Robert Boback, LADC
• Ingri Boe-Wiegaard, L. AC.
• Nicholas S Bogannam, D.C.

• Clinical Social Worker in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.