Blythe Judith Hamilton Maruyama, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015371 Issued in IL

Practice address

522 Chestnut St Ste 2D
Hinsdale, IL 60521-3173

Phone

(630) 321-1073

NPI assigned

Nov 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Blythe Judith Hamilton Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hinsdale Therapy Group

  • Clinical Social Worker
  • Hinsdale, IL
  • NPI 1316060718
  NPD (past)

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1659849222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S ASHLAND AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252812",
            "telephone_number": "773-818-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CHESTNUT ST STE 2D",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213173",
            "telephone_number": "630-321-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUYAMA",
        "first_name": "BLYTHE",
        "middle_name": "JUDITH HAMILTON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLYTHE",
            "last_name": "HAMILTON",
            "middle_name": "JUDITH",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gregory Y. Markley, D.C.
• Colleen Marotta, CNM
• Patricia M. Martin, M.D.
• Carlos O. Martinez, MD
• Emellee Martinez
• Helen Michelle Marxen
• Mary Barry and Associates, LLC
• Maryam Golshani DDS PLLC
• Andrew Martin Marz, DO
• Nicole Justine Massey-Hastings, PSYD, LCP

• Clinical Social Worker in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.