Michele Keren Blum, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108440-01 Issued in NY

Practice address

320 Wadsworth Ave Apt 2F
New York, NY 10040-4197

Phone

(646) 512-0050

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 2022By the provider in NPPES

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

Electronic endpoints 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": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1467164756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WADSWORTH AVE APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404197",
            "telephone_number": "646-757-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WADSWORTH AVE APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404197",
            "telephone_number": "646-512-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "MICHELE",
        "middle_name": "KEREN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "108440-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://sessions.psychologytoday.com/keren-blum",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "320 Wadsworth Ave Apt 2F",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100404197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Nathan Blum, MSED, LMHC
• Julia Ann Blum
• Lawrence Roy Blum, MD
• Leslie Frances Blum, MD
• Lisa Rose Blum
• Raia Antonia Blum, MD
• Robin R Blum, M.D.
• Ronald Blum, MD
• Rye Dario Pianko Blum, ANP, WHNP
• Sarah Blum, LCSW

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Dec 19, 2022; 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.