Individual provider Active NPI

Anne Liblich, LCSW

  • Clinical Social Worker
  • East Sandwich, MA
National Provider Identifier
1700144540
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084074 Issued in NY
Practice address
7 Juniper Hill Rd
East Sandwich, MA 02537-1020
Phone
(516) 302-7719
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 123683 MA
Clinical Social Worker 1041C0700X 084074 NY Primary

Addresses

Primary practice location

7 Juniper Hill Rd
East Sandwich, MA 02537-1020

Mailing address

7 Juniper Hill Rd
East Sandwich, MA 02537-1020
Phone (516) 302-7719

Other practice location 1

160 Great Neck Rd Ste A
Great Neck, NY 11021-3304
Phone (516) 252-3671

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aliblichlcsw@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171030001206 NY Practitioner - Clinical Social Worker 8325314743 Reassigns benefits to 2 organizations
Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123683MAMDClinical Social Worker
084074NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc Single Specialty CurrentSince Aug 1, 2017 Accepting new patients
Anne Liblich LCSW PC Single Specialty CurrentSince Jun 20, 2020 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Clinical CurrentSince Aug 1, 2017 Accepting new patients
Nourish Therapy LLC Clinical CurrentSince Dec 18, 2022 Accepting new patients

Locations

107 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 472-7559

24302 Northern Blvd
Little Neck, NY 11362

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

Organizations & group practices 4

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1700144540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JUNIPER HILL RD",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371020",
            "telephone_number": "516-302-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 JUNIPER HILL RD",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371020",
            "telephone_number": "516-302-7719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Great Neck Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110213304",
            "country_code": "US",
            "telephone_number": "516-252-3671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBLICH",
        "first_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123683",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aliblichlcsw@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7 Juniper Hill Rd",
            "city": "East Sandwich",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025371020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Sandwich, MA

Sources for this page

Verify at the official NPI Registry.