Blum Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUM WELLNESS

Practice address

976 Martin Luther King Jr Blvd Ste 270
Chapel Hill, NC 27514-2654

Phone

(919) 260-5841

NPI assigned

Feb 3, 2023

Organization subpart

No

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

Authorized official

Name

Danielle Kelly, MSW, LCSW, LCASNPI 1477954758

Title

Founder

Phone

(919) 260-5841

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Kelly, MSW, LCSW, LCAS

  • Clinical Social Worker
  • Chapel Hill, NC
  • NPI 1477954758

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1952007692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 MARTIN LUTHER KING JR BLVD STE 270",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142654",
            "telephone_number": "919-260-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 MARTIN LUTHER KING JR BLVD STE 270",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142654",
            "telephone_number": "919-260-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "919-260-5841",
        "authorized_official_credential": "MSW, LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Edward Blohm, MD
• Ben Adam Blomberg, MD
• Bloom and Grow Early Childhood Development, LLC
• Janelle Ruth Bludorn, PA-C
• Blue Hill Therapy PLLC
• Franklin Robert Blum, MD
• Jeffrey Martin Blumberg, MD
• Erica Wyman Blystone, LCSW
• David Evers Boaz, DDS
• Sally J. Bober, MS, OTR/L

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, 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 Feb 3, 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.