SANDRA BLOOM (NPI# 1548630965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548630965 |
| Entity Type | Individual |
| Full Name | SANDRA BLOOM |
| Practice Address |
12073 Tech Rd Ste B Silver Spring MD 20904-7874 |
| Practice Telephone | 3015931315 |
| Practice Fax Number | 3016814699 |
| Mailing Telephone | 3015931315 |
| Mailing Fax Number | 3016814699 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
12172 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750615068 | Sandra L. Bloom | Psychiatry & Neurology | 13 Druim Moir Ln, Philadelphia, PA 19118-4134 | 2009-09-21 |
| 1447369178 | Sandra L Bloom | Nurse Anesthetist, Certified Registered | 2119 Highway 33, Suite B, Hamilton Square, NJ 08690-1740 | 2006-08-29 |
| Street Address |
12073 TECH RD STE B |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-7874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588689483 | Psychogeriatric Services LLC | Psychologist | 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 | 2006-07-12 |
| 1215571955 | Tymel Octavia Cason | Social Worker | 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 | 2019-11-06 |
| 1528617974 | Ruthann Mcfadden | Social Worker | 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 | 2019-09-09 |
| 1922667773 | Peggy Guzman | Social Worker | 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 | 2019-06-06 |
| 1467954263 | Sara Gunther | Social Worker | 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 | 2018-03-07 |
| 1245767227 | Cindy Dominique | Counselor | 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 | 2017-05-22 |
| 1619400843 | Annette Kerr | Social Worker | 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 | 2017-04-05 |
| 1275074676 | Sharon Ruth Nuss | Psychologist | 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 | 2017-03-17 |
| 1679016315 | Lisa Hawkins-eidson | Psychologist | 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 | 2016-11-29 |
| 1447701792 | Psychogeriatric Services LLC | Psychologist | 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 | 2016-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| 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 |
|---|---|---|---|---|
| 1265032908 | Ayana S Manzanares | Social Worker | 2507 Holman Ave, Silver Spring, MD 20910-1143 | 2020-10-30 |
| 1669072633 | Petals Behavioral LLC | Social Worker | 12623 Epping Rd, Silver Spring, MD 20906-3865 | 2020-10-29 |
| 1063025922 | Emily Rachel Star | Social Worker | 415 Silver Spring Ave Apt 210a, Silver Spring, MD 20910-4610 | 2020-08-28 |
| 1043823180 | Comforting Minds Counseling & Consulting | Social Worker | 3539 Sheffield Manor Ter Apt 203, Silver Spring, MD 20904-7403 | 2020-08-28 |
| 1336750777 | Adriana Carranza | Social Worker | 801 Dennis Ave, Silver Spring, MD 20901-2019 | 2020-08-10 |
| 1528686359 | Jennifer E Olkewicz | Social Worker | 2000 Dennis Ave Ste 22, Silver Spring, MD 20902-4136 | 2020-07-08 |
| 1194342899 | Janie Brown | Social Worker | 15101 Glade Dr Apt 2e, Silver Spring, MD 20906-1526 | 2020-06-29 |
| 1831720572 | Weberlyn Dossen | Social Worker | 8777 1st Ave, Silver Spring, MD 20910-3511 | 2020-01-31 |
| 1487290292 | With Valor Therapy, LLC | Social Worker | 2227 Bel Pre Rd # 321, Silver Spring, MD 20906-2204 | 2019-11-27 |
| 1487297438 | Leslie Marie Kent | Social Worker | 8811 Colesville Rd Ste 105, Silver Spring, MD 20910-4327 | 2019-10-22 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on SANDRA BLOOM.
| 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.