Individual provider Active NPI

Blima Schneebalg, LCSW

  • Clinical Social Worker
  • Spring Valley, NY
National Provider Identifier
1679100291
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096146 Issued in NY
Practice address
10 Elm St Unit 201
Spring Valley, NY 10977-8314
Phone
(845) 263-4854
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 096146 NY Primary
Social Worker 104100000X 109288 NY

Addresses

Primary practice location

10 Elm St Unit 201
Spring Valley, NY 10977-8314

Mailing address

10 Elm St Unit 201
Spring Valley, NY 10977-8314
Phone (845) 263-4854

Other practice location 1

25 Robert Pitt Dr
Monsey, NY 10952-3365
Phone (845) 425-5252 ext. 1128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109288NYMDSocial Worker
096146NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1679100291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ELM ST UNIT 201",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109778314",
            "telephone_number": "845-263-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELM ST UNIT 201",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109778314",
            "telephone_number": "845-263-4854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Robert Pitt Dr",
            "address_purpose": "LOCATION",
            "city": "Monsey",
            "state": "NY",
            "postal_code": "109523365",
            "country_code": "US",
            "telephone_number": "845-425-5252 x1128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEEBALG",
        "first_name": "BLIMA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096146",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.