Active NPI
Blum Therapy, PLLC
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1518797448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Martine Blum
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1437367356
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.