Amelie Fernandez Ruazol Blue, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4788 Issued in TN

Practice address

Knoxville VA Medical Center 1557 Downtown West Blvd
Knoxville, TN 37919

Phone

(865) 545-4592

NPI assigned

Jun 24, 2009

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Florence Crittenton Agency Inc

  • Community/Behavioral Health Agency
  • Knoxville, TN
  • NPI 1518122639
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1730317249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KNOXVILLE VA MEDICAL CENTER 1557 DOWNTOWN WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-545-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KNOXVILLE VA MEDICAL CENTER 1557 DOWNTOWN WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-545-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "AMELIE",
        "middle_name": "FERNANDEZ RUAZOL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "4788",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHER LICENSE",
            "identifier": "$$$$$$$$$",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASTER'S SOCIAL WORKER",
            "identifier": "4788",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Blosser, BCABA
• Gerald Blossom, M.D.
• Blount Orthopaedic Associates PA
• Blue Dog Family Dentistry
• Blue Horizon Marriage and Family Therapy Inc
• Charles Thurber Blue, MD
• Elena Arlene Blue
• Stacy E Blue, BS
• Melissa Marie Blume, COTA
• Cody Bly, DO

• Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.