Andrew Blanco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05541400 Issued in NJ

Practice address

233 Prospect St
Westfield, NJ 07090-4005

Phone

(908) 233-2042

Fax

(908) 654-7414

NPI assigned

Mar 8, 2015

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Youth and Family Counseling Service IncGroup PAC ID 9032142757, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Youth & Family Counseling Service Inc

  • Community/Behavioral Health Agency
  • Westfield, NJ
  • NPI 1013071083
  Medicare reassignment Care Compare group
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD
• Senior Living Behavioral Health LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1083150056

  NJ

  Medicare reassignment NPD
• Lifebulb LLC

  • Mental Health Counselor
  • Toms River, NJ
  • NPI 1699491464
  Medicare reassignment
• Youth & Family Counseling Service Inc

  • Clinical Social Worker
  • Westfield, NJ
  • NPI 1902145303
  NPD (past)

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

{
    "created_epoch": "1425772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425772800000",
    "number": "1669865184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 PROSPECT ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070904005",
            "telephone_number": "908-233-2042",
            "fax_number": "908-654-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 PROSPECT ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070904005",
            "telephone_number": "908-233-2042",
            "fax_number": "908-654-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "ANDREW",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-08",
        "last_updated": "2015-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05541400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Adam Biagioli, PH.D.
• Ralph Bianca, PHD, LCSW, LCADC
• Carolyn Rose Birbiglia, MD
• Alyce Bishai, PA-C
• Marlie Blaise
• Conor H. Blanco, D.O.
• Noelle Bleski, L.A.C
• Steven Craig Blutfield, D.M.D.
• Christopher P Bober, LCSW
• Loryn Boccia-Leon

• Clinical Social Worker in Westfield, NJ
• Providers in Westfield, 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 Mar 8, 2015; 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.