Blaire Erica Fuchs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086803-1 Issued in NY

Practice address

76 S Orange Ave Ste 209
South Orange, NJ 07079-1923

Phone

(201) 740-7137

Fax

(973) 378-9575

NPI assigned

Apr 27, 2018

Last updated

Apr 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1194213801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E LINDEN AVE FL 2",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281912",
            "telephone_number": "201-577-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 S ORANGE AVE STE 209",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791923",
            "telephone_number": "201-740-7137",
            "fax_number": "973-378-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "BLAIRE",
        "middle_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086803-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490512",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kemoy Fong
• Duane Fredericks, M.D.
• Tracy Margaret Fredericks, LCSW, MSW
• Walter F Fricke, D.AC, L.AC.
• Khadijah Friday
• Cynthia A Galeota, CNM
• Champaklal K Gandhi, M.D.
• Kinnari C Gandhi
• Sulakshana Gandhi, MD
• Garden State Eldercare

• Clinical Social Worker in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.