Megan Richert, Licensed Clinical Social Worker, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MEGAN RICHERT, LICENSED CLINICAL SOCIAL WORKER, INC

Doing business as

Bloom Maternal Therapy

Practice address

310 James Way Ste 150
Pismo Beach, CA 93449-2877

Phone

(805) 774-0656

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Elise Richert, LCSWNPI 1730728486

Title

Founder & Clinical Director

Phone

(805) 774-0656

Specialties & licenses 2

Addresses

Other names 1

• Bloom Maternal Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Elise Richert, LCSW

  • Clinical Social Worker
  • San Luis Obispo, CA
  • NPI 1730728486
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1184485534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 JAMES WAY STE 150",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492877",
            "telephone_number": "805-774-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 JAMES WAY STE 150",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492877",
            "telephone_number": "805-774-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN RICHERT, LICENSED CLINICAL SOCIAL WORKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "FOUNDER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "805-774-0656",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Maternal Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc W. Weise, M.D., Inc.
• Ruben Marquez
• Barbara Hayek Marsden, L. AC.
• Ann Marie McDonald, NP
• Ann Louise McNeil, NP
• Craig A Merrill, M.D.
• Laura Melissa Michaels, CMP
• Jonathan Mielziner
• Stacy D Mierau, PA-C
• Vanessa Rose Miller

• Adult Mental Health Clinic/Center in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.