Denis Eduardo Blumberg, LCSW, CASAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

070766-1 Issued in NY

Practice address

5619 Metropolitan Ave FL 1
Ridgewood, NY 11385-1958

Phone

(718) 366-6252

Fax

(718) 366-6253

NPI assigned

Nov 20, 2006

Last updated

Feb 13, 2020By 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

Electronic endpoints 1

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, 2001

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Denis E Blumberg LCSW-R, P.C.

  • Community/Behavioral Health Agency
  • Ridgewood, NY
  • NPI 1376099341
  Authorized official Same address or phone
• Denis E Blumberg LCSW-R, P.C.

  • Community/Behavioral Health Agency
  • Ridgewood, NY
  • NPI 1811447667
  Authorized official Same address or phone
• Denis Eduardo Blumberg LCSW-R

  • Community/Behavioral Health Agency
  • Oceanside, NY
  • NPI 1013146224
  NPD (past) Authorized official
• Denis Eduardo Blumberg, LCSW, P.C.

  • Mental Health Counselor
  • Ridgewood, NY
  • NPI 1851696397
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1467526640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MERRIFIELD AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722913",
            "telephone_number": "718-541-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 METROPOLITAN AVE FL 1",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851958",
            "telephone_number": "718-366-6252",
            "fax_number": "718-366-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMBERG",
        "first_name": "DENIS",
        "middle_name": "EDUARDO",
        "name_prefix": "Mr.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "070766-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "denisblumberg@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5619 Metropolitan Ave Fl 1",
            "city": "Ridgewood",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113851958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.