Blooming You LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOMING YOU LLC

Practice address

10243 Glenburn LN
Charlotte, NC 28278-6002

Phone

(417) 501-4689

NPI assigned

Mar 13, 2024

Last updated

Mar 13, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Courtney Moore, MSW, LCSWANPI 1003531617

Title

Owner/Therapist

Phone

(417) 501-4689

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney Moore, MSW, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1003531617
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1013775022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10243 GLENBURN LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10243 GLENBURN LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786002",
            "telephone_number": "417-501-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING YOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "417-501-4689",
        "authorized_official_credential": "MSW, LCSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Bloom
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• Blake Bloomfield, PA-C
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• Blooming Hearts Behavioral Health and Child Development
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• Blossom ABA Therapy NC
• Blossom Community Services
• Blossom Medical Transportation LLC
• Charles A Blotnick, M.D.

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.