Individual provider · Type 1 NPI

Matthew Gregg Blum, LMSW

Counselor · Staten Island, NY

NPI number 1932477494 Active

Practice location

777 Seaview Ave, Building #2
Staten Island, NY 10305-3409

Call (718) 351-5530 Map

Fax (718) 351-5639

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X13-4182492 (NY)
Social Worker 104100000X058031-1 (NY)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1932477494

Matthew Gregg Blum, LMSW's National Provider Identifier is 1932477494, issued on Dec 12, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Staten Island, NY. The record was last updated on Dec 15, 2011.