Individual provider Active NPI

Katherine Lytle Blood, LCSW

  • Social Worker
  • Newton, MA
National Provider Identifier
1710239801
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
216103 Issued in MA
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

Updated by the provider on Oct 12, 2012

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 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
216103MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Riverside Community Care PastSince Oct 1, 2023 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.

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

Verify at the official NPI Registry.