Taryn Blaustein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05675900 Issued in NJ

Practice address

46 Main St Ste 110
Sparta, NJ 07871-1910

Phone

(973) 866-5552

NPI assigned

Mar 22, 2017

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Dec 15, 2018.

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544832000000",
    "number": "1619408689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MAIN ST STE 110",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MAIN ST STE 110",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711910",
            "telephone_number": "973-866-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Changebridge Rd Bldg B32",
            "address_purpose": "LOCATION",
            "city": "Montville",
            "state": "NJ",
            "postal_code": "070458805",
            "country_code": "US",
            "telephone_number": "973-359-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAUSTEIN",
        "first_name": "TARYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2018-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05675900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Belz, PSY.D.
• Benevolent Wellness
• Alexandra Bieniasz, BCBA
• Emily Taylor Billings, PT, DPT
• Melony K Bishop
• Edward Blevins, LPC, LCADC
• Alison Elise Bloomer
• David A Bollard, DO
• Thomas J Bonelli, MT-BC
• Bonjour Enterprises, Inc.

• All providers in Sparta, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2018; 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.