Individual provider Active NPI

Blossom D Kapper, LCSW

  • Clinical Social Worker
  • Largo, FL
National Provider Identifier
1285778217
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8416 Issued in FL
Practice address
10825 Seminole Blvd
Suite #1
Largo, FL 33778-3337
Phone
(727) 215-8350
Fax
(727) 393-7533
NPI assigned
Feb 15, 2007
Last updated
Sep 27, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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 SW8416 FL Primary

Addresses

Primary practice location

10825 Seminole Blvd
Suite #1
Largo, FL 33778-3337

Mailing address

9026 Lynwood Dr
Seminole, FL 33772-2815
Phone (727) 215-8350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW8416FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1285778217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9026 LYNWOOD DR",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722815",
            "telephone_number": "727-215-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 SEMINOLE BLVD",
            "address_2": "SUITE #1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783337",
            "telephone_number": "727-215-8350",
            "fax_number": "727-393-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPER",
        "first_name": "BLOSSOM",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.