Active NPI
Katie Elizabeth Blumenfeld, LMSW
- Social Worker
- Astoria, NY
National Provider Identifier
1467931329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104372
- Practice address
- 3636 33Rd St Ste 502
Astoria, NY 11106-2329 - Phone
- (718) 426-8110
- NPI assigned
- Aug 11, 2018
- Last updated
- Aug 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104372 | NY | Primary |
Addresses
Primary practice location
3636 33Rd St Ste 502
Astoria, NY 11106-2329
Mailing address
777 6TH Ave Apt 3G
New York, NY 10001-6395
Phone (203) 216-8740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104372 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Counseling Services LCSW, PLLC | 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.
-
dba Queens Counseling Services, PLLC
- Clinical Social Worker
- Astoria, NY
- NPI 1477815280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533945600000",
"number": "1467931329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 6TH AVE APT 3G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016395",
"telephone_number": "203-216-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 33RD ST STE 502",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062329",
"telephone_number": "718-426-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMENFELD",
"first_name": "KATIE",
"middle_name": "ELIZABETH",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-11",
"last_updated": "2018-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "104372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.