Heath Ian Bloch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072020 Issued in NY

Practice address

24302 Northern Blvd
Douglaston, NY 11362-1150

Phone

(718) 423-6200

Fax

(718) 423-9762

NPI assigned

Dec 15, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1598094880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 E 20TH ST",
            "address_2": "APT 8G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091312",
            "telephone_number": "917-842-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 NORTHERN BLVD",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621150",
            "telephone_number": "718-423-6200",
            "fax_number": "718-423-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "HEATH",
        "middle_name": "IAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branislav Bednarik
• Elana Amy Bergman, LMSW
• Big Apple Ortho Med Supply Inc
• Fiona Rose Pasternack Blanco, M.D.
• Blanton-Peale Institute
• Morton Bogaty
• Michael Bonomo, PH.D.
• Tamara Cassandra Bowens
• Melissa Caryn Braunstein, PSYD
• Talya Braunstein

• All providers in Douglaston, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.