Bloom Balance Collaborative LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM BALANCE COLLABORATIVE LLC

Practice address

3620 Grand Ave
McHenry, IL 60050-3819

Phone

(847) 421-5534

NPI assigned

Mar 11, 2025

Organization subpart

No

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

Authorized official

Name

Shaina KrugmanNPI 1982282083

Title

Owner/Therapist

Phone

(847) 421-5534

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaina Krugman, MSW

  • Clinical Social Worker
  • McHenry, IL
  • NPI 1982282083
  NPD Authorized official

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1184423154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 GRAND AVE",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503819",
            "telephone_number": "847-421-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 GRAND AVE",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503819",
            "telephone_number": "847-421-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BALANCE COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "KRUGMAN",
        "authorized_official_first_name": "SHAINA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "847-421-5534"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Ann Bodzioch
• Kathleen M Boehmer, P.T.A.
• Sara Boelkens, RDN

• Clinical Social Worker in McHenry, IL
• Providers in McHenry, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.