Sonja Olsen Bloom, M.A.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000469 Issued in VA

Practice address

8101 Hinson Farm Rd
Suite # 117
Alexandria, VA 22306-3403

Phone

(703) 780-1533

Fax

(703) 780-0947

NPI assigned

Mar 10, 2007

Sex

Female

Sole proprietor

Yes

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.

• Stuart Moore LLC

  • Clinical Social Worker
  • Reston, VA
  • NPI 1417440397

  Clinical

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124150719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE # 117",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-780-1533",
            "fax_number": "703-780-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD",
            "address_2": "SUITE # 117",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063403",
            "telephone_number": "703-780-1533",
            "fax_number": "703-780-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "SONJA",
        "middle_name": "OLSEN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "039335",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "117291",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessings of Hope Counseling and Supervision Services, LLC
• Matthew Archer Blomme, MA
• Sharon Elaine Blondeau, RN
• Emily Rachel Parker Blondin, PT, DPT, MSPT
• Peter Bloom, PH.D.
• Blossom Center for Integrative Psychiatry LLC
• Blossom Hearing Center LLC
• Belinda Ann Blough, PTA
• Miles Blount
• Blue Beginning Health, Inc.

• All providers in Alexandria, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.