Randy Lee Blume, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113482 Issued in MA

Practice address

38 Crafts St
Square Psychiatry, First Floor
Newton, MA 02458-1249

Phone

(617) 916-5069

Fax

(617) 467-4073

NPI assigned

Dec 18, 2006

Last updated

Jul 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Comprehensive Heatlh Services, LLC

  dba Stoneybrook Counseling Center

  • Community/Behavioral Health Agency
  • Chelmsford, MA
  • NPI 1659400802

  Clinical

  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1790848034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 APPLETON ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381346",
            "telephone_number": "617-388-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CRAFTS ST",
            "address_2": "SQUARE PSYCHIATRY, FIRST FLOOR",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581249",
            "telephone_number": "617-916-5069",
            "fax_number": "617-467-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUME",
        "first_name": "RANDY",
        "middle_name": "LEE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lytle Blood, LCSW
• Veronika Y Bloom
• Nancy Newman Bloomstein, LICSW
• Kristeen Blossfeld, P.T.
• Kathryn Blumberg, MSPT
• BMT Company Corp
• Nyssa Wittliff Boardman, PSY.D.
• Natalie Antwi Boasiako
• Grace Rose Bobkowski, MD
• Aviva Ruth Bock, CCMHC LMHC

• Clinical Social Worker in Newton, MA
• Providers in Newton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.