Individual provider Active NPI

Emily Blewitt, MSW

  • Clinical Social Worker
  • Conway, SC
National Provider Identifier
1295131043
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8620 Issued in CT
Practice address
2404 Wise Rd
Conway, SC 29526-5521
Phone
(843) 365-8884
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8620 CT Primary

Addresses

Primary practice location

2404 Wise Rd
Conway, SC 29526-5521

Mailing address

2404 Wise Rd
Conway, SC 29526-5521
Phone (843) 365-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326000136 CT Practitioner - Clinical Social Worker 7416470943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Guidance Clinic for Central Connecticut Inc.Group PAC ID 7315479631, 3 clinicians

Practice addresses (Care Compare)

384 Pratt St
Meriden, CT 06450-8627
Phone (203) 235-5767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8620CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Guidance Clinic for Central Connecticut, Inc CurrentSince Mar 19, 2025 Accepting new patients
Community Guidance Clinic for Central Connecticut, Inc PastSince Mar 19, 2025 Accepting new patients

Locations

384 Pratt St
Meriden, CT 06450
Phone (203) 235-5767

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1295131043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 WISE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265521",
            "telephone_number": "843-365-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 WISE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265521",
            "telephone_number": "843-365-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEWITT",
        "first_name": "EMILY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.