Ciji Latrice Blue, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009062 Issued in NC

Practice address

6319 Raeford Rd Apt 71
Fayetteville, NC 28304-2838

Phone

(919) 760-3026

NPI assigned

Sep 18, 2012

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hu Cares LLC

  • Family Medicine Physician
  • Hampton, VA
  • NPI 1891583316
  NPD

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1891045753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26269",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145021",
            "telephone_number": "919-760-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 RAEFORD RD APT 71",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042838",
            "telephone_number": "919-760-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "CIJI",
        "middle_name": "LATRICE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom in Journey PLLC
• Crystal Lynn Bloomer, LPN
• Bridget Blount
• Andrea Blue, RBT
• Carolyn Blue
• Crystal Nicole Blue, LCSWA
• Diamond Blue
• Escada Blue
• Evelyn Denise Blue
• Neil Blue, LPC

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.