Individual provider Active NPI

Ana Isabel Placencia-Block, LCSW

  • Clinical Social Worker
  • Ventnor City, NJ
National Provider Identifier
1871848556
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05508700 Issued in NJ
Practice address
6601 Ventnor Ave Ste 16 B
Ventnor City, NJ 08406-1054
Phone
(269) 876-9694
NPI assigned
Jul 18, 2012
Last updated
Jan 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05508700 NJ Primary

Addresses

Primary practice location

6601 Ventnor Ave Ste 16 B
Ventnor City, NJ 08406-1054

Mailing address

6601 Ventnor Ave Ste 16 B
Ventnor City, NJ 08406-1054
Phone (269) 876-9694

Other names 1

  • Ana Isabel Placencia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05508700NJMDClinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1871848556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 VENTNOR AVE STE 16 B",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061054",
            "telephone_number": "269-876-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 VENTNOR AVE STE 16 B",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061054",
            "telephone_number": "269-876-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACENCIA-BLOCK",
        "first_name": "ANA",
        "middle_name": "ISABEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05508700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "PLACENCIA",
            "middle_name": "ISABEL",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ventnor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.