Individual provider Active NPI

Judith Sara Rosenblatt

  • Clinical Social Worker
  • Pittsburg, CA
National Provider Identifier
1700188943
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65073 Issued in CA
Practice address
51 Marina Blvd
Pittsburg, CA 94565
Phone
(510) 406-2578
NPI assigned
Nov 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW60489 CA
Social Worker 104100000X 081869-1 NY
Clinical Social Worker 1041C0700X 65073 CA Primary

Addresses

Primary practice location

51 Marina Blvd
Pittsburg, CA 94565

Mailing address

51 Marina Blvd
Pittsburg, CA 94565-2068
Phone (510) 406-2578

Other practice location 1

538 Shelly Dr
Pleasant Hill, CA 94523-4122
Phone (510) 910-5523

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

LicenseStateTypeSpecialty
ASW60489CAMDSocial Worker
081869-1NYMDClinical Social Worker
65073CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1290211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1700188943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MARINA BLVD",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945652068",
            "telephone_number": "510-406-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MARINA BLVD",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "94565",
            "telephone_number": "510-406-2578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "538 Shelly Dr",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "CA",
            "postal_code": "945234122",
            "country_code": "US",
            "telephone_number": "510-910-5523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "JUDITH",
        "middle_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-20",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW60489",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081869-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "65073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.