Provider Demographics
NPI:1083817282
Name:BLISS, JANET D (MSW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:D
Last Name:BLISS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 NORTH AVE APT 1V
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2636
Mailing Address - Country:US
Mailing Address - Phone:914-435-3856
Mailing Address - Fax:914-684-2548
Practice Address - Street 1:2780 SCHURZ AVE # 1V
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-3234
Practice Address - Country:US
Practice Address - Phone:914-643-5385
Practice Address - Fax:914-636-3938
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2399211041C0700X
1041C0700X
NYP03784611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY037846OtherLCSW
P2485129OtherOXFORD
NY1083817282OtherNPI