MS. PHYLLIS BLOOM


Address: 875 Sixth Avenue, Suite #1108, Ny, NY 10001
Phone: 2129671393

MS. PHYLLIS BLOOM (NPI# 1750398640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750398640
Entity Type Individual
Full Name MS. PHYLLIS BLOOM
Credential LSW, L.AC.
Practice Address 875 Sixth Avenue
Suite #1108
Ny
NY 10001
Practice Telephone 2129671393
Practice Fax Number 2129675996
Mailing Telephone 2129671393
Mailing Fax Number 2129675996
Enumeration Date 2006-08-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 104100000X Social Worker R0162401 NY Behavioral Health & Social Service Providers
X 171100000X Acupuncturist 203-1 NY Other Service Providers

Office Location

Street Address 875 SIXTH AVENUE
SUITE #1108
City NY
State NY
Zip Code 10001

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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215567243 Lady Marie Peterson Social Worker 1 Gustave L. Levy Place, New York, Ny, NY 10029 2020-01-17
1891252706 Marcia Hochman Social Worker The Hallowell Center, 117 West 72nd St. 3rd Floor, Ny, NY 10023 2019-02-27
1326568320 Molly Katherine Stremba Social Worker 29 West 15th Street Apt 8, Ny, NY 10011 2017-06-21
1023281375 Alice B Fox Social Worker 333 West 57th St, 102, Ny, NY 10019 2008-04-08
1376724534 Nancy Grabois Arann Social Worker 434 East 52 St, Apt 1e, Ny, NY 10022 2007-11-16
1285795252 Laura Drake Guggenheim Social Worker 308 West 103, #4e, Ny, NY 10025 2006-12-13
1730283987 Lisa Denny Perera Social Worker 441 West 26th St, Hudson Guild, Ny, NY 10001 2006-09-09
1942312699 Jerry S Pecker Social Worker 201 West 74th Street, Ste 15c, Ny, NY 10023 2006-08-31
1306859251 Douglas K Gerber Social Worker 865 West End Ave, #1c, Ny, NY 10025-8402 2006-08-14
1992727457 Denise Lai Kwan Kan Social Worker 268 Canal Street, Charles B. Wang Community Health Center, Ny, NY 10013 2006-07-24
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City NY
Zip Code 10001

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Dataset Information

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.

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