Aliza Blumenthal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12958 Issued in FL

Practice address

9888 Grand Verde Way Apt 101
Boca Raton, FL 33428-3518

Phone

(845) 641-8838

NPI assigned

Feb 15, 2018

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

Enrolled in FL

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Mindful Maven

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1235814799
  Medicare reassignment NPD Authorized official
• Leverage Health, Inc.

  dba Mind & Mobility

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1780902726
  Medicare reassignment NPD

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1932609039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 GRAND VERDE WAY APT 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283518",
            "telephone_number": "845-641-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 GRAND VERDE WAY APT 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283518",
            "telephone_number": "845-641-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENTHAL",
        "first_name": "ALIZA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "12958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keon Ivory Blue
• Blueline Medical Supply LLC
• Bluemind ABA Theragroup LLC
• Sara M Blum, PA
• Robert Blume, M.D.
• Arielle Emma Blumenthal, MSW, LCSW
• Peter T Blumenthal, DMD
• Scott Evan Blumenthal, D.O.
• Karin A Blumofe, MD
• Board of Trustees of Florida Atlantic University (Florida Atlantic University Student Health Services)

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.