Lauren Bloom, MA, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW79080 Issued in CA

Practice address

3225 Lakeshore Ave
Oakland, CA 94610-2719

Phone

(510) 545-6223

Fax

(512) 663-5772

NPI assigned

Sep 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1255859500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 ROSS ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181630",
            "telephone_number": "15126635772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 LAKESHORE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102719",
            "telephone_number": "510-545-6223",
            "fax_number": "512-663-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "LAUREN",
        "credential": "MA, MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW79080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn M Blodgett, L.C.S.W.
• Bloom Lifecare
• Amanda Bloom, PA-C
• Erika Bloom, MFT
• Joan D Bloom, NP
• Brenda J Bloomfield, L.C.S.W.
• Melody Susan Bloomfield
• Blossom Acupuncture Inc
• Tatianna Marie Blot
• Ashley Sophia Blueford, LCSW

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.