Individual provider Active NPI

Francine Mindy Blumm, LCSW

  • School Social Worker
  • West Nyack, NY
National Provider Identifier
1336418912
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
072715 Issued in NY
Practice address
65 Parrott Rd
Cbi Tech High School
West Nyack, NY 10994-1025
Phone
(845) 627-4785
NPI assigned
Dec 28, 2011
Last updated
May 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 072715 NY Primary

Addresses

Primary practice location

65 Parrott Rd
Cbi Tech High School
West Nyack, NY 10994-1025

Mailing address

1 Blue Hill PLZ
FL 3
Pearl River, NY 10965-3104
Phone (914) 366-0887

Other names 1

  • Ms. Francine Mindy Blumm Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072715NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Boces Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1336418912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLUE HILL PLZ",
            "address_2": "FL 3",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109653104",
            "telephone_number": "914-366-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PARROTT RD",
            "address_2": "CBI TECH HIGH SCHOOL",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941025",
            "telephone_number": "845-627-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMM",
        "first_name": "FRANCINE",
        "middle_name": "MINDY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "072715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCINE",
            "last_name": "BLUMM",
            "middle_name": "MINDY",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.