| Doctor Name: | AMY BLOCK |
| NPI Number: | 1104275650 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 44SC00297600 |
| Business Practice Address: | 225 Millburn Ave Suite 209a Millburn, NJ - 070411737 |
| Business Phone Number: | 2013063758 |
| Business Fax Number: | 2089880230 |
| Mailing Address: | 225 Millburn Ave, Suite 209a MILLBURN |
| State: | NJ |
| Postal Code: | 070411737 |
| Phone Number: | 2013063758 |
| Fax Number: | 2089880230 |
| NPI Enumeration Date: | 06/06/2016 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC00297600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |