Active NPI
Michael T. Block, LCSW
- Clinical Social Worker
- Patchogue, NY
National Provider Identifier
1700917366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R032673
- Practice address
- 233 Fairharbor Dr
Patchogue, NY 11772-3342 - Phone
- (631) 475-6492
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Clinical Social Worker | 1041C0700X | R032673 | NY | Primary |
Addresses
Primary practice location
233 Fairharbor Dr
Patchogue, NY 11772-3342
Mailing address
233 Fairharbor Dr
Patchogue, NY 11772-3342
Phone (516) 456-6282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R032673 | Other | NY | STATE LICENSE NUBER |
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 |
|---|---|---|---|
| R032673 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1700917366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 FAIRHARBOR DR",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723342",
"telephone_number": "516-456-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 FAIRHARBOR DR",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723342",
"telephone_number": "631-475-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "MICHAEL",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R032673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUBER",
"identifier": "R032673",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.