Individual provider Active NPI

Michael Bleicher, LCSW

  • Social Worker
  • Elizabeth, NJ
National Provider Identifier
1851866016
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC05760300 Issued in NJ
Practice address
153 Keats Ave
Elizabeth, NJ 07208-1051
Phone
(917) 803-0381
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC05760300 NJ Primary

Addresses

Primary practice location

153 Keats Ave
Elizabeth, NJ 07208-1051

Mailing address

153 Keats Ave
Elizabeth, NJ 07208-1051

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819000206 NY Practitioner - Clinical Social Worker 9931437753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05760300NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aizer Health , Inc. CurrentSince May 8, 2019 Accepting new patients
Aizer Health , Inc. CurrentSince May 8, 2019 Accepting new patients

Locations

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

Organizations & group practices 2

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1851866016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 KEATS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 KEATS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081051",
            "telephone_number": "917-803-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEICHER",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05760300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.