Bennett Alan Blatt, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R031403-1 Issued in NY

Practice address

1268 E 14TH St
Brooklyn, NY 11230-5241

Phone

(414) 630-3477

Fax

(718) 382-0051

NPI assigned

Jan 12, 2011

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ohel Children's Home and Family Services, Inc.Group PAC ID 2062325020, 27 clinicians

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.

• Ohel Children's Home and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Far Rockaway, NY
  • NPI 1043468804

  Clinical

  Medicare reassignment Care Compare group NPD
• Ohel Children's Home and Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, FL
  • NPI 1629851613
  NPD
• Cary J Kohlenberg MD SC

  dba Independent Psychiatric Consultants Mental Health Center

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1952487506
  NPD (past)

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1962707539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 OCEAN PKWY APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301128",
            "telephone_number": "414-630-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305241",
            "telephone_number": "414-630-3477",
            "fax_number": "718-382-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "BENNETT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-12",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R031403-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "031403",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Blassingame, R.N.
• Nichole Blassingame
• Elina Blat, M.S. CCC-SLP
• Alan Blatt, R.PH
• Barry Blatt
• Rachel Felicity Blatt, RN, CNM, WHNP-BC
• Rivky Blatt
• Tery Blatt, N.P.
• Yitty L Blatt
• Chana Miriam Blatter, M.ED., SPECIAL ED

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Nov 21, 2022; 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.