MS. MICHELLE JORDANA BLOOM (NPI# 1316240385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316240385 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE JORDANA BLOOM |
| Credential | L.C.S.W. |
| Practice Address |
1651 3rd Ave Suite 201 New York NY 10128-3679 |
| Mailing Address |
500 East 83rd Street Apt 4l New York NY 10028 |
| Practice Telephone | 5165267120 |
| Mailing Telephone | 5165267120 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2015-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 72 082712 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
73081585 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093094419 | Michelle Bloom | Nurse Practitioner | 4020 Morse Xing, Columbus, OH 43219-6037 | 2011-08-16 |
| 1841703444 | Michelle Bloom | Social Worker | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2017-11-06 |
| 1326582719 | Michelle Bloom | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2016-12-05 |
| 1003230764 | Michelle Marie Bloom | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2014-02-14 |
| 1952569873 | Michelle Emily Bloom | Internal Medicine | 3001 Expressway Dr N, Islandia, NY 11749-5301 | 2008-05-28 |
| Street Address |
1651 3RD AVE SUITE 201 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-3679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154311637 | Betsy Wroblewski | Counselor | 1651 3rd Ave, Rm 205, New York, NY 10128-3679 | 2005-10-25 |
| 1376093708 | Cheryl Feigenson | Psychologist | 1651 3rd Ave, New York, NY 10128-3679 | 2016-10-10 |
| 1306209499 | Sarah Mcnamara | Social Worker | 1651 3rd Ave, Suite 201, New York, NY 10128-3679 | 2016-04-05 |
| 1043611965 | Alexandra Petrou | Psychologist | 1651 3rd Ave, Rm 205, New York, NY 10128-3679 | 2014-09-10 |
| 1861816498 | Madeline Pincus | Social Worker | 1651 3rd Ave, Suite 201, New York, NY 10128-3679 | 2014-02-18 |
| 1437580206 | Anthony Mazzella | Social Worker | 1651 3rd Ave, Suite 201, New York, NY 10128-3679 | 2013-12-04 |
| 1073956587 | Natalie Yvette Gutierrez | Marriage & Family Therapist | 1651 3rd Ave, Suite 201, New York, NY 10128-3679 | 2013-04-15 |
| 1801172192 | Strategic Neuropsychological Services Pllc | Clinical Neuropsychologist | 1651 3rd Ave, Rm 201, New York, NY 10128-3679 | 2011-10-31 |
| 1518249283 | Alicia D. Henry | Social Worker | 1651 3rd Ave, Suite 201, New York, NY 10128-3679 | 2011-09-19 |
| 1861799751 | Tara Lynn Sym | Social Worker | 1651 3rd Ave, Suite 205, New York, NY 10128-3679 | 2011-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1316546807 | Nicole D'angelo | Social Worker | 511 E 81st St Apt 11, New York, NY 10028-2512 | 2020-10-26 |
| 1730788993 | Nancy Bacher | Social Worker | 1770 Madison Ave, New York, NY 10035-4787 | 2020-10-20 |
| 1346849676 | Marlene St. Vil Darbouze | Social Worker | 156 W 119th St Apt 1, New York, NY 10026-1354 | 2020-10-19 |
| 1720686702 | Elizabeth Orent | Social Worker | 310 E 23rd St Apt 6c, New York, NY 10010-4703 | 2020-10-13 |
| 1548868607 | Prescott Psychotherapy Wellness Lcsw Pllc | Social Worker | 285 Lexington Ave Fl 2a, New York, NY 10016-3592 | 2020-10-12 |
| 1003413410 | Caprice Royal, Lcsw P.l.l.c | Social Worker | 368 Saint Nicholas Ave Apt 2a, New York, NY 10027-7678 | 2020-10-08 |
| 1669079364 | Nina Michelle Libson | Social Worker | 405 E 14th St Apt 6e, New York, NY 10009-2703 | 2020-10-06 |
| 1588279954 | Robert Mladinich | Social Worker | 6 Stuyvesant Oval Apt 5g, New York, NY 10009-2416 | 2020-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.