Carli Blau, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090477 Issued in NY

Practice address

337 Engle St
Tenafly, NJ 07670-1803

Phone

(201) 774-1234

NPI assigned

Dec 26, 2015

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cab LCSW P.C.

  • Clinical Social Worker
  • Tenafly, NJ
  • NPI 1528632247
  NPD Authorized official

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

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1699130229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 ENGLE ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701803",
            "telephone_number": "201-774-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 ENGLE ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701803",
            "telephone_number": "201-774-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 E 88th St",
            "address_2": "Floor 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281151",
            "country_code": "US",
            "telephone_number": "917-710-4497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 E 66th St Apt 4E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656152",
            "country_code": "US",
            "telephone_number": "201-774-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAU",
        "first_name": "CARLI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-26",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095856",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lucia Birkenfeld, D.M.D
• Blue Iron Physio LLC
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• Branch Physical Therapy & Wellness PC
• Stephen Lawrence Brenner, MD
• Brightview Tenafly, LLC

• Clinical Social Worker in Tenafly, NJ
• Providers in Tenafly, 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 Dec 2, 2020; 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.