Organization Active NPI

Blum Therapy, PLLC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1518797448
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLUM THERAPY, PLLC
Practice address
1822 Ardilea St # NA
Las Vegas, NV 89135-3339
Phone
(702) 327-8439
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Mrs. Martine BlumNPI 1437367356
Title
LCSW
Phone
(702) 327-8439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1822 Ardilea St # NA
Las Vegas, NV 89135-3339

Mailing address

11700 W Charleston Blvd # 170-501
Las Vegas, NV 89135-1573
Phone (702) 327-8439

National Provider Directory

National Provider Directory

Locations

11700 W Charleston Blvd
#170501
Las Vegas, NV 89135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1518797448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 W CHARLESTON BLVD # 170-501",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351573",
            "telephone_number": "702-327-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 ARDILEA ST # NA",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353339",
            "telephone_number": "702-327-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUM THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "MARTINE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "702-327-8439",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.