Denis Eduardo Blumberg, LCSW, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R0707661 Issued in NY

Legal business name

DENIS EDUARDO BLUMBERG, LCSW, P.C.

Practice address

5619 Metropolitan Ave
Ridgewood, NY 11385-1958

Phone

(718) 541-0884

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Denis Eduardo BlumbergNPI 1467526640

Title

LCSW-R

Phone

(718) 541-0884

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denis Eduardo Blumberg, LCSW, CASAC

  • Mental Health Counselor
  • Ridgewood, NY
  • NPI 1467526640
  NPD (past) Authorized official

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1851696397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MERRIFIELD AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722913",
            "telephone_number": "347-563-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 METROPOLITAN AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851958",
            "telephone_number": "718-541-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENIS EDUARDO BLUMBERG, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "BLUMBERG",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "LCSW-R",
        "authorized_official_telephone_number": "718-541-0884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "R0707661",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R0707661",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0707661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02847643",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Dec, CASAC
• Gadi Dekel, DMD
• Justina Delgado
• Denis E Blumberg LCSW-R, P.C.
• Denis E Blumberg LCSW-R, P.C.
• Dental Artes LLC
• Dental Care of Ridgewood, P.C.
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• Sagar Dhandia, OD
• Diamond District Corneal, P.C.

• Mental Health Counselor in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.