Individual provider Active NPI

Marilyn Rona Blacher-Reich, LCSW

  • Clinical Social Worker
  • Somerville, NJ
National Provider Identifier
1356559124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC189900 Issued in NJ
Practice address
60 E High St
Somerville, NJ 08876-2310
Phone
(908) 231-0443
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC189900 NJ Primary

Addresses

Primary practice location

60 E High St
Somerville, NJ 08876-2310

Mailing address

60 E High St
Somerville, NJ 08876-2310
Phone (908) 231-0443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000782 NJ Practitioner - Clinical Social Worker 1759423817 Practice locations: East Brunswick, NJ; Highland Park, NJ; Somerville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 E Cliff St
Somerville, NJ 08876-1910
Phone (908) 231-0443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC189900NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356559124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E HIGH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762310",
            "telephone_number": "908-231-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E HIGH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762310",
            "telephone_number": "908-231-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACHER-REICH",
        "first_name": "MARILYN",
        "middle_name": "RONA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC189900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.