Active NPI
Blossom Therapy LLC
- Clinical Social Worker
- Hamden, CT
National Provider Identifier
1124913462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BLOSSOM THERAPY LLC
- Practice address
- 2661 Whitney Ave
Hamden, CT 06518-2900 - Phone
- (203) 293-6179
- NPI assigned
- Jun 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordyn Herman, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (914) 417-7404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2661 Whitney Ave
Hamden, CT 06518-2900
Mailing address
455 Sherman Ave Apt 29
Hamden, CT 06518-2166
Phone (914) 417-7404
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749427200000",
"number": "1124913462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SHERMAN AVE APT 29",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065182166",
"telephone_number": "914-417-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2661 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065182900",
"telephone_number": "203-293-6179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "JORDYN",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "914-417-7404",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.