Sarah Lynn Blomquist, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149024059 Issued in IL

Practice address

23908 W Main St
Plainfield, IL 60544-2122

Phone

(224) 875-1975

NPI assigned

Dec 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bloom Counseling and Therapy

  • Mental Health Counselor
  • North Aurora, IL
  • NPI 1558087189
  NPD Authorized official

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1346889144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 4TH ST APT 3",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613012088",
            "telephone_number": "224-875-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23908 W MAIN ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442122",
            "telephone_number": "224-875-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2611 Woodlawn Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610814151",
            "country_code": "US",
            "telephone_number": "815-625-0013 x106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOMQUIST",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150103809",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Blackler, RD, LDN
• Crystal Bland
• Lisa Marie Blankenship, LPC, CADC
• Kristie Veronica Blazys
• Blissfulbridges Care LLC
• Dylan Gabriel Bloom, LSW
• Elizabeth Bludgen, MPT
• Blue Moon of Colorado LLC
• Blue Moon Senior Counseling
• Blue Moon Senior Counseling of California LLC

• Clinical Social Worker in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.