Rudolph Blier, PHD, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1029015 Issued in MA

Practice address

5 Fuller PL
Cambridge, MA 02138-4905

Phone

(617) 626-9619

NPI assigned

Jun 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Commonwealth of MassachusettsGroup PAC ID 8820906860, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• The Commonwealth of Massachusetts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
  • NPI 1568587913
  Medicare reassignment Care Compare group NPD
• The Commonwealth of Massachusetts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
  • NPI 1073638805
  NPD
• The Commonwealth of Massachusetts

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1427111574
  NPD

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861695561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FULLER PL",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FULLER PL",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384905",
            "telephone_number": "617-626-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIER",
        "first_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "PHD, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ceevah M Blatman, M.D.
• Michael A Blau, D.D.S.
• Amy Briggs Bledsoe, PH.D.
• Blessed Hearts Home LLC
• Katherine Noel Blevines
• Michelle Blitzman
• Nathalie Bloch, MD
• Aaron Michael Block, PA-C
• Amanda Blomberg-Faura, LICSW
• Claire Yvonne Blood-Deschamps

• Clinical Social Worker in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.