Claire T Russell-Bloom, MSW,LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122527 Issued in MA

Practice address

20 Fair St
Newburyport, MA 01950-2847

Phone

(978) 270-1183

NPI assigned

Oct 20, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Harborside of Newburyport, Inc.

  • Mental Health Counselor
  • Newburyport, MA
  • NPI 1952407074
  NPD (past)

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1356984645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FAIR ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502847",
            "telephone_number": "978-270-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FAIR ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502847",
            "telephone_number": "978-270-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL-BLOOM",
        "first_name": "CLAIRE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "MSW,LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-20",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Edmund Rosin, M.D.
• Kirsten Ross
• Johanna Rossi
• Rowen M. Hochstedler MD
• Ruby Family Dentistry
• Kelly C Russell, MA, LMHC
• Kristen Marie Ryan
• Susan Elizabeth Rzepka, O.D.
• Sadruddin B Hemani MDPC
• Robert Safion, M.ED.

• Clinical Social Worker in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.