Organization Active NPI

Blooming Valleys LLC

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1306732672
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLOOMING VALLEYS LLC
Practice address
15 N Main St Ste 100
West Hartford, CT 06107-1957
Phone
(860) 778-1580
NPI assigned
Jun 14, 2025
Last updated
Jun 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Authorized official

Name
Diana Maria Roman, LCSWNPI 1316409402
Title
Owner/Clinician
Phone
(860) 778-1580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

15 N Main St Ste 100
West Hartford, CT 06107-1957

Mailing address

15 N Main St Ste 100
West Hartford, CT 06107-1957

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749859200000",
    "number": "1306732672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST STE 100",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST STE 100",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071957",
            "telephone_number": "860-778-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING VALLEYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "860-778-1580",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.