Active NPIIndividual providerSole proprietor

Mr. Matthew G Blum, LMSW

Counselor in Staten Island, New York

NPI Number1932477494
Practice location
777 Seaview Ave, Building #2, Staten Island, NY 10305-3409
Fax
718-351-5639
Last updated
December 15, 2011

Matthew Gregg Blum is a Counselor based in Staten Island, NY. Matthew Gregg Blum practices in Staten Island, NY and has the professional credentials of LMSW. The NPI Number for Matthew Gregg Blum is 1932477494 and holds a License No. 13-4182492 (NY). The current practice location address for Matthew Gregg Blum is 777 Seaview Ave, Building #2, Staten Island, NY 10305-3409 and can be reached out via phone at 718-351-5530 and via fax at 718-351-5639.

Provider Profile Details

NPI Number
1932477494
Provider Name
Matthew Gregg Blum
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
777 Seaview Ave, Building #2, Staten Island, NY 10305-3409
Phone Number
718-351-5530
Fax Number
718-351-5639
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 12, 2011
Last Update Date
December 15, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
777 Seaview Ave
Building #2
Staten Island, NY 10305-3409
Zip
10305-3409
Phone Number
718-351-5530
Fax Number
718-351-5639
Staten Island, NY 10305Get directions →

Provider Business Mailing Address Details

Address
777 Seaview Ave
Building #2
Staten Island, NY 10305-3409
City
Staten Island
State
NY
Zip
10305-3409
Phone Number
718-351-5530
Fax Number
718-351-5639

License Information

License Number (1)
13-4182492
License State (1)
NY
Taxonomy (1)
Counselor · 101Y00000X · Primary
License Number (2)
058031-1
License State (2)
NY
Taxonomy (2)
Social Worker · 104100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Matthew G Blum, LMSW?

The NPI number of Mr. Matthew G Blum, LMSW is 1932477494. It was assigned on December 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew G Blum, LMSW?

Mr. Matthew G Blum, LMSW is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NY under license number 13-4182492.

Where does Mr. Matthew G Blum, LMSW practice?

The practice location is 777 Seaview Ave, Building #2, Staten Island, NY 10305-3409. The office can be reached at 718-351-5530 (phone) or 718-351-5639 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932477494 directly on the NPPES registry website.

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