Bloodworth, Kemba

Bloodworth, Kemba is an individual health care provider with primary practice located at 250 W 57Th St Frnt 5 , New York NY 10107-0005. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bloodworth, Kemba can be contacted via phone (212) 582-1566.

Contact Information

Primary practice address
250 W 57Th St Frnt 5 New York NY 10107-0005
Phone: (212) 582-1566
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 11233401 New York

Profile Details

NPI number 1437615374
LBN Legal business name Bloodworth, Kemba
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2019
Last updated Apr 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437615374 NPPES
New York MEDICAID 11111111

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