Barbara Blom, LCSW, CAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

680101058302 Issued in MI

Practice address

477 S Main St
Plymouth, MI 48170-1708

Phone

(734) 416-3341

NPI assigned

Oct 6, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barbara a. Blom LLC

  • Clinical Social Worker
  • Plymouth, MI
  • NPI 1316377781
  Medicare reassignment NPD Authorized official
• Ann Marie Bradley Enterprises Inc

  • Community/Behavioral Health Agency
  • Plymouth, MI
  • NPI 1447510060
  NPD (past)
• Meahan Therapy Inc

  • Clinical Social Worker
  • Plymouth, MI
  • NPI 1215058300
  NPD (past)

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1033428115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701708",
            "telephone_number": "734-416-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701708",
            "telephone_number": "734-416-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOM",
        "first_name": "BARBARA",
        "credential": "LCSW, CAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "680101058302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Blakely
• Jenna Bleser
• Briana Blessing
• Kathy Bley
• Mary Bleyaert
• Derek Bloomer
• Hannah Marie Blosser
• Christine Blume
• Jacqueline Boboescu, PMHNP-BC
• Shaina Bodenhofer

• Counselor in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.