Active NPI
Paul Michael Bliss, CSW
- Social Worker
- Louisville, KY
National Provider Identifier
1699293050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 252854
- Practice address
- 1436 S Shelby St
Louisville, KY 40217-1107 - Phone
- (502) 694-3323
- NPI assigned
- Sep 6, 2017
- Last updated
- Sep 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 252854 | KY | Primary |
Addresses
Primary practice location
1436 S Shelby St
Louisville, KY 40217-1107
Mailing address
11707 Cedardale Rd
Louisville, KY 40223-2309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252854 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1699293050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11707 CEDARDALE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 S SHELBY ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171107",
"telephone_number": "502-694-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISS",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "252854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.