Individual provider Active NPI

Madlena Rozenblyum, LCSW

  • Mental Health Counselor
  • Forest Hills, NY
National Provider Identifier
1922100163
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R0478551 Issued in NY
Practice address
98 76 Queens Blvd
Ste 1C
Forest Hills, NY 11375
Phone
(646) 645-8016
NPI assigned
Sep 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R0478551 NY Primary
Clinical Social Worker 1041C0700X R0478551 NY

Addresses

Primary practice location

98 76 Queens Blvd
Ste 1C
Forest Hills, NY 11375

Mailing address

33 25 90TH Street
Apt 5G
Jackson Heights, NY 11372
Phone (646) 645-8016

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
I20051005001293 NY Practitioner - Clinical Social Worker 5991720211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0478551NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ruslink LTD Mental Health CurrentSince Oct 23, 2006 Accepting new patients
Shakhmurov Counseling Inc Clinical PastSince Nov 20, 2017 Accepting new patients
Jewish Board of Family & Childrens Services Inc Past Accepting new patients

Locations

9830 67th Ave
Ste Cc
Rego Park, NY 11374
Phone (646) 645-8016

9876 Queens Blvd
Ste 1C
Rego Park, NY 11374
Phone (646) 645-8016

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1922100163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 25 90TH STREET",
            "address_2": "APT 5G",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "646-645-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 76 QUEENS BLVD",
            "address_2": "STE 1C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "646-645-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZENBLYUM",
        "first_name": "MADLENA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R0478551",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0478551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.