Kayla Marie Blumetti, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06878800 Issued in NJ

Practice address

1581 Route 23 Ste 2
Wayne, NJ 07470-7506

Phone

(973) 435-6252

NPI assigned

Oct 31, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1114634201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WASHINGTON ST FL 1",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032405",
            "telephone_number": "973-908-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 ROUTE 23 STE 2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707506",
            "telephone_number": "973-435-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMETTI",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06878800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Howard Bleicher, M.D.
• Lawrence Blitz, MD
• Rebecca Bloom, LAC
• Blossom Bebes LLC
• Blossoms Pediatric Occupational Therapy LLC.
• Matias Blumetti, APN
• Bryan Bocco, APN
• Lauren Jane Bodker, M.S OTR
• Aneta Bodyziak, DPT
• Erin Boland, RN,APN

• Clinical Social Worker in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.