Individual provider Active NPI

Linda H Bloch, MS LCSW

  • Social Worker
  • Mahopac, NY
National Provider Identifier
1538201835
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0139611 Issued in NY
Practice address
10 McMahon Place
Mahopac, NY 10541-1705
Phone
(845) 628-9595
Fax
(845) 628-9597
NPI assigned
Feb 13, 2007
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R0139611 NY Primary

Addresses

Primary practice location

10 McMahon Place
Mahopac, NY 10541-1705

Mailing address

10 McMahon PL
Mahopac, NY 10541-1700
Phone (914) 320-1324

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190110003155 NY Practitioner - Clinical Social Worker 1557607686 Practice locations: Mahopac, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 McMahon PL
Suite 3
Mahopac, NY 10541-1708
Phone (914) 320-1324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R0139611NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1538201835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MCMAHON PL",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411700",
            "telephone_number": "914-320-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCMAHON PLACE",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411705",
            "telephone_number": "845-628-9595",
            "fax_number": "845-628-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "LINDA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "MS LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0139611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

Verify at the official NPI Registry.