Individual provider Active NPI

Doronit Shlank-Bloomenthal, LICSW

  • Clinical Social Worker
  • Lowell, MA
National Provider Identifier
1205085636
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
21 George St
First Floor
Lowell, MA 01852-2228
Phone
(978) 710-9877
Fax
(888) 972-2483
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

21 George St
First Floor
Lowell, MA 01852-2228

Mailing address

234 Littleton Rd Ste 1D
Westford, MA 01886-3530
Phone (978) 467-4423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230707000851 MA Practitioner - Clinical Social Worker 0547663288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

336 Baker Ave
Concord, MA 01742-2100
Phone (978) 467-4423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doronit S. Bloomenthal, Licsw, LLC Clinical CurrentSince Jul 10, 2023 Accepting new patients
HKD Treatment Options PC Clinical Past Accepting new patients

Locations

336 Baker Ave
#111A
Concord, MA 01742
Phone (978) 467-4423

234 Littleton Rd
Ste 1D
Westford, MA 01886
Phone (978) 392-5998

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1205085636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 LITTLETON RD STE 1D",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863530",
            "telephone_number": "978-467-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GEORGE ST",
            "address_2": "FIRST FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522228",
            "telephone_number": "978-710-9877",
            "fax_number": "888-972-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLANK-BLOOMENTHAL",
        "first_name": "DORONIT",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.