Active NPI
John Bliss, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1811094899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R029750
- Practice address
- 246 Fifth Avenue
Suite 500
New York, NY 10001-7916 - Phone
- (212) 481-1055
- Fax
- (212) 481-7374
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 20, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R029750 | NY | Primary |
Addresses
Primary practice location
246 Fifth Avenue
Suite 500
New York, NY 10001-7916
Mailing address
246 Fifth Avenue
Suite 500
New York, NY 10001-7916
Phone (212) 481-1055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R029750 | Other | NY | LCSW |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
928 Broadway
Suite 403
New York, NY 10010-8151
Phone (212) 481-1055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R029750 | NY | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- New York, NY
- NPI 1033216098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1811094899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 FIFTH AVENUE",
"address_2": "SUITE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017916",
"telephone_number": "212-481-1055",
"fax_number": "212-481-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 FIFTH AVENUE",
"address_2": "SUITE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017916",
"telephone_number": "212-481-1055",
"fax_number": "212-481-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISS",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R029750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "R029750",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Alexander L Blinski, M.D.
- Bliss Pharmacy Inc. (Upper Madison Drugs)
- Bliss Specialty Pharmacy Inc (Venus Pharmacy and Beauty Supply)
- Bliss Wellness Chiropractic Ny PC
- Bliss-Poston the Second Wind, Inc.
- Joshua William Bliss, MD, PHARMD
- Samuel Bliss, PHARM.D.
- Sara Patricia Bliss, PA-C
- Sonia Elaine Blissett, PH.D.
- Blissful Mind NP in Psychiatry and Adult Health PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.