Leslie Blumgold

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080632-1 Issued in NY

Practice address

112 Franklin PL
Woodmere, NY 11598-1217

Phone

(516) 374-3671

NPI assigned

Dec 22, 2014

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doppler Psychology Services at Home PCGroup PAC ID 2062821713, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doppler Psychology Services at Home PC

  • Cognitive & Behavioral Psychologist
  • Fort Lee, NJ
  • NPI 1396338364

  NY

  Medicare reassignment Care Compare group NPD
• Ilm Medical Care PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1023442035
  Medicare reassignment NPD
• Park Avenue Pediatrics, P.C.

  dba PArk Avenue Health CEnter

  • Pediatrics Physician
  • Spring Valley, NY
  • NPI 1699969543
  Medicare reassignment NPD
• Tempo Youth Services, Inc.

  • Social Worker
  • Woodmere, NY
  • NPI 1114628310
  NPD

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1437547601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981253",
            "telephone_number": "516-374-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981217",
            "telephone_number": "516-374-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMGOLD",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-22",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080632-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Blashka, DDS
• Lauren R Blaufarb Ochs, PT
• Solomon Blisko, DDS
• Rachel Lauren Bloom, LMSW
• Ariela Blumenthal-Zuller
• Aviva M Bock, O.T.R.
• Eliana Bock
• Carrie Boczko
• Amy J Bodner, MS
• Courtney Bohnak Stamm

• Clinical Social Worker in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.