Carly Suzanne Bloomfield, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7779 Issued in KS

Practice address

1704 Olive St
Concordia, KS 66901-4934

Phone

(785) 243-4236

Fax

(785) 243-6119

NPI assigned

Jun 24, 2010

Sex

Female

Sole proprietor

No

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.

• Emberhope, Inc

  • Physical Disabilities Residential Treatment Facility
  • Newton, KS
  • NPI 1265439871
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2010.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1205147246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 E 47TH ST S",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101651",
            "telephone_number": "316-529-9100",
            "fax_number": "316-529-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 OLIVE ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669014934",
            "telephone_number": "785-243-4236",
            "fax_number": "785-243-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "CARLY",
        "middle_name": "SUZANNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Kansas, Inc.
• Megan M Blackley, LMLP
• Blackwood Chiropractic Clinic P a
• Bradley Jason Blackwood, D.C
• Terrance Alan Blackwood, D.C.
• Anthony L Bombardier, PHARM. D.
• Bryan Christopher Bombardier, PHARM.D.
• Jason Branfort, RPH
• Dorothy Breault, M.D.
• Mark E. Breault, DC

• All providers in Concordia, KS
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.