Individual provider Active NPI

Kimberly Viona Blewett, MSW, LSW

  • Social Worker
  • Denville, NJ
National Provider Identifier
1386408540
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06694700 Issued in NJ
Practice address
56 Morris Ave
Denville, NJ 07834-1735
Phone
(973) 625-0096
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06694700 NJ Primary

Addresses

Primary practice location

56 Morris Ave
Denville, NJ 07834-1735

Mailing address

56 Morris Ave
Denville, NJ 07834-1735
Phone (973) 625-0096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06694700NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Morris County LLC PastSince Feb 11, 2024 Accepting new patients

Organizations & group practices 1

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1386408540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MORRIS AVE",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341735",
            "telephone_number": "973-625-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MORRIS AVE",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341735",
            "telephone_number": "973-625-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEWETT",
        "first_name": "KIMBERLY",
        "middle_name": "VIONA",
        "name_prefix": "Miss",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06694700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.