Bloom Counseling and Therapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM COUNSELING AND THERAPEUTIC SERVICES

Practice address

16506 N Dale Mabry Hwy
Tampa, FL 33618-1325

Phone

(813) 262-0460

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Danielle Blyden, LCSWNPI 1740885193

Title

Founder

Phone

(407) 455-4425

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Blyden, LCSW

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1740885193
  NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1376148601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 CITRUS FALLS CIR APT 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16506 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "telephone_number": "813-262-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM COUNSELING AND THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "BLYDEN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "407-455-4425",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Block-Bannister, LCSW
• Lillian Rose Block
• Pedro Manuel Bloise
• Wojciech Blonski, MD, PHD
• Barry Ellsworth Blood Jr., LMHC
• Bloom Family Doctor, PLLC
• Bloom Wellness & Chiropractic, Inc.
• Jennifer L Bloom, LCSW
• Joshua Alex Bloom, MD
• Marc B Bloom, M.D.

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.