Kesha Blunt-Williams, LSW, CA-CYFSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S. 0027922 Issued in OH

Practice address

4724 Vine St
Cincinnati, OH 45217-1254

Phone

(513) 349-1440

Fax

(513) 482-7993

NPI assigned

Dec 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other names 1

• Dr. Kesha Blunt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blossoming Minds Inc

  • Counselor
  • Cincinnati, OH
  • NPI 1992304554
  NPD Authorized official

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1487029641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452171254",
            "telephone_number": "513-349-1440",
            "fax_number": "513-482-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452171254",
            "telephone_number": "513-349-1440",
            "fax_number": "513-482-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNT-WILLIAMS",
        "first_name": "KESHA",
        "name_prefix": "Dr.",
        "credential": "LSW, CA-CYFSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "S.0027922",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "S. 0027922",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OH",
            "license": "S. 0027922",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "S.0027922",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "OH",
            "license": "S. 0027922",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S. 0027922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KESHA",
            "last_name": "BLUNT",
            "prefix": "DR.",
            "credential": "LSW, CA-CYFSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Marie Blum
• Kayla Nicole Blum, ATC
• William Thomas Blum
• Stacey Michele Blume-Soper, DMD
• Gina D Blume
• Connor Bluntson
• Kyle Blust
• Michael William Blust, MD
• Sandra Blust, PHARMD, BCPS
• Sean M. Blyth, LICDC

• Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.