Christina Bloom
Individual provider Active NPI Social Worker · Graham, WA
NPI 1104649961 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1104649961
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 21120 Meridian E
Graham, WA 98338-8254 - Phone
- (253) 285-4750
- NPI assigned
- Oct 31, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
21120 Meridian E
Graham, WA 98338-8254
Mailing address
5516 110TH St E Apt R105
Puyallup, WA 98373-5771
Other providers in Graham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.