Magdalena Bloom, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114434 Issued in IA

Practice address

1201 Harmon PL
Minneapolis, MN 55403-2043

Phone

(612) 313-3240

NPI assigned

Oct 22, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Department of Veteran Affairs

  • Military General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1811423643
  NPD (past)

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1083378400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VETERANS DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172300",
            "telephone_number": "612-467-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HARMON PL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032043",
            "telephone_number": "612-313-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MAGDALENA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "114434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Blonsky
• Cassandra Lee Kelly Blood Vesel
• Ingrid A Bloom, LICSW
• Ingrid L. Bloom, LI. A.
• Jennifer Bloom, APRN, CPNP
• Stuart Hunegs Bloom, M.D.
• Blooma
• Paul Bloomberg, MD
• Cindy Lu Bloomfield
• Hanna Ellen Bloomfield

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.