Liza Katherine Blank, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077770-1 Issued in NY

Practice address

80 5TH Ave RM 903
New York, NY 10011-7611

Phone

(212) 633-9262

NPI assigned

Sep 8, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378598400000",
    "number": "1902231004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 OCEAN PKWY APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182521",
            "telephone_number": "917-992-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE RM 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117611",
            "telephone_number": "212-633-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "LIZA",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-08",
        "last_updated": "2013-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077770-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla Blank, MD
• Andrew Blank, M.D.
• Claudia F Blank, LCSW
• Elana Blank, LMSW
• Lily Blank, PH.D.
• Marion Blank
• Nina Blank, MD
• Rebecca Barbara Blank, PH.D., M.D.
• Stephanie Blank, MD
• Susan Blank, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2013; 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.