Ellen Blaufox, LCSW
Individual provider Active NPI Clinical Social Worker · Hawthorne, NY
NPI 1821246034 · NPPES record last updated Aug 29, 2008
Key facts
- NPI
- 1821246034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 73 051576 (NY)
- Practice address
- 500 Linda Avenue
Hawthorne, NY 10532 - Phone
- (914) 773-7542
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73 051576 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73 051576 | NY | Yes |
Addresses
Primary practice location
500 Linda Avenue
Hawthorne, NY 10532
Mailing address
500 Linda Ave
Hawthorne, NY 10532-1313
Phone (914) 773-7542
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00801276 | Medicaid | NY |
Other providers in Hawthorne, NY
- Behzad Ben Bidadi
- Erika Biesemeier
- Biomed Pharmaceuticals Inc
- Biomed Pharmaceuticals, Inc
- Jennifer Ann Black
- Ilyse Blazar
- Maryam Bojarian
- Liza Kate Boland
- Janet Borra
- Joanne Mary Bortone
All providers in Hawthorne, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.