Moshe A Bleich, MSW/PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11179 Issued in MD

Practice address

4255 US Highway 9 BLDG 5B
Freehold, NJ 07728-8305

Phone

(609) 901-3350

Fax

(609) 901-3348

NPI assigned

Jun 23, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, MD, DC3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wagner Medical PC

  dba SonderMind

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1235951187
  Medicare reassignment
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  DC, MD

  Medicare reassignment

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1639480841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 US HIGHWAY 9 BLDG 5B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288305",
            "telephone_number": "609-901-3350",
            "fax_number": "609-901-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 US HIGHWAY 9 BLDG 5B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288305",
            "telephone_number": "609-901-3350",
            "fax_number": "609-901-3348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Veterans Affairs Medical Ctr",
            "address_2": "50 Irving Street NW-05",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "204220001",
            "country_code": "US",
            "telephone_number": "202-745-8000 x7268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 White Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Little Silver",
            "state": "NJ",
            "postal_code": "077391162",
            "country_code": "US",
            "telephone_number": "732-945-6771",
            "fax_number": "732-842-1794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEICH",
        "first_name": "MOSHE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MSW/PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078189",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fay O Bizub, NP
• Michael Robert Bizzarro, LCSW
• Rohanna Christina Blackwood, APN
• Judith C Blair, LCSW
• Robert Roy Blank, M.D.
• Laura Bligh
• Ann Blinchik Maugeri, D.C.
• Bliss Network Management, Inc.
• Bluebird Counseling LLC
• Melinda Blume

• Clinical Social Worker in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.