Active NPI
Katherine Lytle Blood, LCSW
- Social Worker
- Newton, MA
National Provider Identifier
1710239801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 216103
- Practice address
- 64 Eldredge St
Newton, MA 02458-2017 - Phone
- (617) 969-4925
- Fax
- (617) 244-2507
- NPI assigned
- Oct 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 216103 | MA | Primary |
Addresses
Primary practice location
64 Eldredge St
Newton, MA 02458-2017
Mailing address
64 Eldredge St
Newton, MA 02458-2017
Phone (617) 969-4925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216103 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Community Care, Inc. | Current | Accepting new patients | |
| Riverside Community Care | Past | Accepting new patients |
Locations
270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905
64 Eldredge St
Newtonville, MA 02458
Phone (617) 969-4925
190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670
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.
-
- Community/Behavioral Health Agency
- Norwood, MA
- NPI 1780791467
-
- Community/Behavioral Health Agency
- Newton, MA
- NPI 1730473992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1710239801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 ELDREDGE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582017",
"telephone_number": "617-969-4925",
"fax_number": "617-244-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 ELDREDGE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582017",
"telephone_number": "617-969-4925",
"fax_number": "617-244-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOD",
"first_name": "KATHERINE",
"middle_name": "LYTLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "216103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.