Individual provider Active NPI

Nancy R Goldblatt, LCSWC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1669423745
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05235 Issued in MD
Practice address
1620 Roundhill Rd
Baltimore, MD 21218-2213
Phone
(410) 235-0630
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05235 MD Primary

Addresses

Primary practice location

1620 Roundhill Rd
Baltimore, MD 21218-2213

Mailing address

1620 Roundhill Rd
Baltimore, MD 21218-2213
Phone (410) 235-0630

Other identifiers 1

IdentifierTypeStateIssuer
205401903MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20081106000316 MD Practitioner - Clinical Social Worker 7719046663 Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1620 Roundhill Rd
Baltimore, MD 21218-2213
Phone (410) 235-5325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05235MDMDClinical Neuropsychologist
5235MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Judith M. Levy, LLC CurrentSince Feb 19, 2021 Accepting new patients
Everly, Hildreth & Platman Behavioral Services, LLC Clinical Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1669423745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 ROUNDHILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182213",
            "telephone_number": "410-235-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ROUNDHILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182213",
            "telephone_number": "410-235-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBLATT",
        "first_name": "NANCY",
        "middle_name": "R",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205401903",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.