Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538088273 Individual Practitioner Male Practitioner

Marvin Riky Blaise

Social Worker • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Marvin Blaise is a registered healthcare professional specializing in Social Worker in Bronx, NY. Practice services are available at 130 W KINGSBRIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 W Kingsbridge Rd

Bronx, NY 104683904

Telephone 7185849000
Associated Practice Facility / Clinic
🏢 Bronx Vamc Facility NPI 1821056995

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
1957 Specialists

Practicing in Bronx, NY (23970 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-15
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 130407

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kelly Clark , PharmD

Pharmacist - Psychiatric

NPI 1003071150

Doctor of Pharmacy (Pharm.D.)

Charisse James

Social Worker

NPI 1003276569
Dr. Jeremy Silverman , PhD

Psychologist - Clinical

NPI 1003314253

Doctor of Philosophy (Ph.D.)

NPI 1003318916

Doctor of Medicine (M.D.)

NPI 1003351420
Blanca Faber , MSW, ACSW, LCSW

Social Worker - Clinical

NPI 1003829698

Master of Social Work, Academy of Certified Social Workers, Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 15, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2026

Registered at 130 W KINGSBRIDGE RD, BRONX, NY 104683904 (Tel: 7185849000)

📍
Updated Business Mailing Address July 15, 2026

Registered at 130 W KINGSBRIDGE RD, BRONX, NY 104683904 (Tel: 7185849000)

👤
Provider Name / Credentials Updated July 15, 2026

Recorded as MARVIN BLAISE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2026

Social Worker (License #130407 in NY)

🟢
Initial NPI Registration & Enumeration July 15, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538088273
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2026
Last Update: July 15, 2026
Sole Proprietor: No

Mailing Address

130 W Kingsbridge Rd

Bronx, NY 104683904

Phone: 7185849000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.