Individual provider Active NPI

Edward Alan Bloss, MSW/LCSW

  • Clinical Social Worker
  • Easton, PA
National Provider Identifier
1700999851
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013438 Issued in PA
Practice address
2030 Lehigh St
Suite 110
Easton, PA 18042-3853
Phone
(484) 894-5129
Fax
(610) 330-9981
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW013438 PA Primary

Addresses

Primary practice location

2030 Lehigh St
Suite 110
Easton, PA 18042-3853

Mailing address

2030 Lehigh St
Suite 110
Easton, PA 18042-3853
Phone (484) 894-5129

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Counseling Associates, P. C. Clinical Past Accepting new patients

Organizations & group practices 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1700999851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 LEHIGH ST",
            "address_2": "SUITE 110",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423853",
            "telephone_number": "484-894-5129",
            "fax_number": "610-330-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 LEHIGH ST",
            "address_2": "SUITE 110",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423853",
            "telephone_number": "484-894-5129",
            "fax_number": "610-330-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSS",
        "first_name": "EDWARD",
        "middle_name": "ALAN",
        "credential": "MSW/LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.