ROBERT JEFFREY BLOOM (NPI# 1942322052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942322052 |
| Entity Type | Individual |
| Full Name | ROBERT JEFFREY BLOOM |
| Credential | LCSW |
| Practice Address |
344 Placerville Dr Ste 17 Placerville CA 95667-3972 |
| Mailing Address |
3082 Wiltse Rd Placerville CA 95667-5924 |
| Practice Telephone | 5306216332 |
| Practice Fax Number | 5306221293 |
| Mailing Telephone | 5306212093 |
| Mailing Fax Number | 5306221293 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS14644 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548363971 | Robert Franklin Bloom | Dermatology | 3413 20th St, Lubbock, TX 79410 | 2006-09-07 |
| 1821014846 | Robert Leslie Bloom | Internal Medicine | Northern Virigina Pulmonary & Critical Care Assoc. PC, 3289 Woodburn Road, 350, Annandale, VA 22003 | 2006-07-14 |
| 1740713312 | Robert Bloom | Physical Therapy Assistant | 2018 Se Federal Hwy, Stuart, FL 34994-3918 | 2017-04-10 |
| 1467527143 | Robert Jay Bloom | Dentist | 393 N Dunlap St, Suite 100 Central Medical Bldg, St Paul, MN 55104 | 2006-11-21 |
| 1457386104 | Robert A Bloom | Urology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2006-07-11 |
| 1760413389 | Robert E. Bloom | Internal Medicine | 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075-3707 | 2006-07-05 |
| 1396786935 | Robert Bloom | Radiology | 2700 Low Ct, Fairfield, CA 94534-9715 | 2006-06-08 |
| 1578512893 | Robert Todd Bloom | Ophthalmology | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-05-06 |
| 1609850932 | Robert W Bloom | Psychiatry & Neurology | 3633 W Lake Ave, Suite 404, Glenview, IL 60026-5805 | 2005-11-30 |
| 1730161910 | Robert Bloom | Psychologist | 5384 Poplar Ave, Suite 313, Memphis, TN 38119-3609 | 2005-11-15 |
| Street Address |
344 PLACERVILLE DR STE 17 |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-3972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649391426 | Laura L. Eakin | Marriage & Family Therapist | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-04-02 |
| 1346691094 | Tahoe Turning Point, Inc. Placerville | Community/Behavioral Health | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2016-06-23 |
| 1093917866 | Teresa Sein | Health Maintenance Organization | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-06-04 |
| 1841413226 | Cheree A Haffner | Social Worker | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-04-11 |
| 1134242290 | Barry Jay Wasserman | Counselor | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-04-06 |
| 1437271020 | Gia Tyler | Marriage & Family Therapist | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-04-04 |
| 1710009188 | Steve Mcnitt | Social Worker | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-04-04 |
| 1417079807 | Rebecca C Norris | Marriage & Family Therapist | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-04-04 |
| 1558483255 | Darryl L Keck | Social Worker | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-04-04 |
| 1003938747 | Prestine F Skinner | Counselor | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| 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 |
|---|---|---|---|---|
| 1154747616 | Michelle Lynn Godwin | Social Worker | 6765 Green Valley Rd Ste F, Placerville, CA 95667 | 2014-03-07 |
| 1134342942 | Terry Lee White | Social Worker | 2808 Mallard Ln., C, Placerville, CA 95667-8770 | 2007-04-10 |
| 1699898247 | Marlene Marie Hensley | Social Worker | 935b Spring St, Placerville, CA 95667-4543 | 2007-04-09 |
| 1720100092 | Christine Satomi Kondo-lister | Social Worker | 2808 Mallard Ln Ste B, Placerville, CA 95667-8770 | 2007-04-06 |
| 1437290400 | Eileen P. Keaveny | Social Worker | 3094 Cedar Ravine Rd, Placerville, CA 95667-5647 | 2007-02-10 |
| 1073685202 | Carla L Wills | Social Worker | 5036 Sunrey Rd, Placerville, CA 95667 | 2006-11-14 |
| 1750632451 | Tiffany Rosalind Smith | Social Worker | 670 Placerville Dr # 2, Placerville, CA 95667-4200 | 2012-09-21 |
| 1689937542 | Jessica Agricola | Social Worker | 670 Placerville Dr, #1b, Placerville, CA 95667-4200 | 2012-06-15 |
| 1760795736 | Santrice Armelia Davis | Social Worker | 6765 Green Valley Rd, G, Placerville, CA 95667-8984 | 2010-07-20 |
| 1003089996 | Shirley J. Miller | Social Worker | 670 Placerville Dr, Suite 1b, Placerville, CA 95667-4200 | 2008-04-11 |
| Find all providers in PLACERVILLE | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
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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.