Individual provider Active NPI

Ruth Rosenblum, LCSWR

  • Social Worker
  • Bronxville, NY
National Provider Identifier
1598937948
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0322711 Issued in NY
Practice address
71 Cassilis Avenue
Bronxville, NY 10708-1204
Phone
(914) 450-5776
Fax
(914) 793-7842
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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 R0322711 NY Primary

Addresses

Primary practice location

71 Cassilis Avenue
Bronxville, NY 10708-1204

Mailing address

71 Cassilis Ave
Bronxville, NY 10708-1204
Phone (914) 450-5776

Other practice location 1

845 N Broadway
White Plains, NY 10603-2403
Phone (914) 761-0600 ext. 148

Other names 1

  • Ruth Flynn Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0322711NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1598937948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CASSILIS AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107081204",
            "telephone_number": "914-450-5776",
            "fax_number": "914-793-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CASSILIS AVENUE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107081204",
            "telephone_number": "914-450-5776",
            "fax_number": "914-793-7842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 N Broadway",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106032403",
            "country_code": "US",
            "telephone_number": "914-761-0600 x148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0322711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "FLYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.