Lorraine Christie Blumenthal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW60586 Issued in CA

Practice address

399 Drake Ave
Monterey, CA 93940-7504

Phone

(831) 421-1130

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Front St Inc

  • Case Management Agency
  • Santa Cruz, CA
  • NPI 1982823043
  NPD (past)
• Front St. Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Cruz, CA
  • NPI 1922242734
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2021.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1982820486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MCKENZIE CREEK RD",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663114",
            "telephone_number": "831-227-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 DRAKE AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407504",
            "telephone_number": "831-421-1130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950621663",
            "country_code": "US",
            "telephone_number": "831-420-0120 x103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUMENTHAL",
        "first_name": "LORRAINE",
        "middle_name": "CHRISTIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW60586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PRV NBR",
            "identifier": "44AV",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MEDI-CAL PRV NBR",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxana D. Bloch, BCBA
• Alec Bloom
• Ruben Blot
• Marian Blum, L.AC.
• Martha Lewis Blum, MD
• Blynn L Shideler MD PC
• Boca Grande Speech Therapy Inc
• Jennell Joe Bockenstedt, OD
• Brian Bogner, ASW
• Boksoonga, LLC

• All providers in Monterey, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.