Kemba Bloodworth-Bhattacharya, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100142 Issued in NY

Practice address

250 W 57TH St FRNT 5
New York, NY 10107-0005

Phone

(212) 582-1566

NPI assigned

Feb 15, 2019

Last updated

Jun 30, 2025By the provider in NPPES

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

Other identifiers 1

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": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1437615374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 121ST ST APT 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276326",
            "telephone_number": "917-280-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 57TH ST FRNT 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101070005",
            "telephone_number": "212-582-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOODWORTH-BHATTACHARYA",
        "first_name": "KEMBA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11111111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Blonder, CF-SLP TSSLD
• Ofra Blonder, MD
• Alan Peter Blondman, D.D.S.
• Max Blondman, D.D.S.
• Emmeline Ryan Blong, LMSW
• Claire Elaine Bloodworth, PA
• Bloom Medical Ny PLLC
• Bloom New York
• Bloom Psychotherapy Nyc LCSW PC
• Bloom Therapy

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.