MS. JENNIFER L BLOOM (NPI# 1467966606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467966606 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER L BLOOM |
| Credential | LCSW |
| Practice Address |
13009 Community Campus Tampa FL 33625-4000 |
| Practice Telephone | 8139601848 |
| Practice Fax Number | 8132658239 |
| Mailing Telephone | 8139601848 |
| Mailing Fax Number | 8132658239 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW14630 | FL | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW14630 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558823617 | Jennifer Marie Bloom | Registered Nurse | 801 Riverside Blvd, Norfolk, NE 68701-7420 | 2019-04-05 |
| 1386182806 | Jennifer Bloom | Counselor | 100 Bradley Park Ln Apt 134, Cumming, GA 30040-3049 | 2017-02-03 |
| 1497032312 | Jennifer Bloom | Physical Therapist | 1145 Frontier Dr, Longmont, CO 80501-3108 | 2011-11-05 |
| 1760027007 | Jennifer Bloom | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2019-11-11 |
| 1396393807 | Jennifer Hanson Bloom | Counselor | 1505 Orchid Ave, Winter Park, FL 32789-5649 | 2019-08-28 |
| 1083038509 | Jennifer Bloom | Occupational Therapy Assistant | 2141 W Prospect Rd, Ashtabula, OH 44004-6439 | 2014-02-05 |
| Street Address |
13009 COMMUNITY CAMPUS |
| City | TAMPA |
| State | FL |
| Zip Code | 33625-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316222 | Kyle Raymond Schindler | Physical Therapist | 12891 Citrus Park Dr, Tampa, FL 33625 | 2020-02-03 |
| 1558923771 | Rose Alexis | Nurse Practitioner | 5357 Enrlich Road, Tampa, FL 33625 | 2019-07-08 |
| 1831655380 | Tampa Family Health Centers, Inc | Clinic/Center | 12085 W. Hillsborough Ave., Tampa, FL 33625 | 2019-02-20 |
| 1083067664 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 6930 Gunn Hwy, Tampa, FL 33625 | 2016-07-19 |
| 1285012773 | Be Bellus Med Spa | Clinic/Center | 6914 W Linebaugh Ave, Suite 102, Tampa, FL 33625 | 2015-05-15 |
| 1649519877 | Brenda Lee Figueroa | Nurse Practitioner | 6702 West Linebaugh Ave., Tampa, FL 33625 | 2013-02-07 |
| 1639424930 | Sheriece Sadberry | Psychologist | 6922 W Linebaugh Ave Ste 101c, Tampa, FL 33625 | 2012-07-23 |
| 1619244191 | Mariana Velandia | Counselor | 12819 Pacifica Pl, Tampa, FL 33625 | 2011-11-28 |
| 1245507003 | Oleston Chiropractic, P.a. | Chiropractor | 6575 Gunn Hwy, Tampa, FL 33625 | 2011-11-22 |
| 1891074027 | Christine M Klocek | Behavioral Analyst | 6543 Gunn Highway, Tampa, FL 33625 | 2011-08-05 |
| Find all providers in zip 33625 | ||||
| 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 |
|---|---|---|---|---|
| 1598365157 | Raenequa Baker | Social Worker | 5118 N 56th St Ste 111, Tampa, FL 33610-5440 | 2020-10-31 |
| 1851999429 | Jasmine Torres | Social Worker | 2807 W Busch Blvd, Tampa, FL 33618-4562 | 2020-10-15 |
| 1396350310 | Melania Jean Macip-billbe | Social Worker | 1924 Inner Oak Cir Apt 302, Tampa, FL 33619-7042 | 2020-09-15 |
| 1194339663 | Erin Mcentegart | Social Worker | 4719 W Fair Oaks Ave, Tampa, FL 33611-2117 | 2020-09-02 |
| 1144832213 | Holly J Wilson | Social Worker | 19194 Lake Audubon Dr, Tampa, FL 33647-3232 | 2020-08-20 |
| 1093327504 | Compassionate Counseling of Tampa Bay | Social Worker | 2702 S Beach Dr, Tampa, FL 33629-7503 | 2020-08-18 |
| 1396356192 | Silvia Ximena Perez | Social Worker | 7405 Albany Dr, Tampa, FL 33625-3803 | 2020-08-14 |
| 1164033080 | Tammy J Clevenger | Social Worker | 215 W Verne St, Tampa, FL 33606-2324 | 2020-08-13 |
| 1548878028 | Odat Coaching & Counseling | Social Worker | 812 W Mlk Blvd, Tampa, FL 33603-3338 | 2020-07-21 |
| 1205454329 | Amanda Jennings Farris | Social Worker | 611 S Glen Ave, Tampa, FL 33609-4607 | 2020-07-07 |
| Find all providers in TAMPA | ||||
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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.