Authentic Bloom Therapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AUTHENTIC BLOOM THERAPY LCSW PLLC

Practice address

353 E 78TH St Apt 3D
New York, NY 10075-1321

Phone

(646) 598-3818

NPI assigned

Sep 2, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Tara Waldman, LCSWNPI 1386359198

Title

Psychotherapist/Owner

Phone

(646) 598-3818

Specialties & licenses 1

Addresses

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.

• Tara Waldman

  • Social Worker
  • New York, NY
  • NPI 1386359198
  NPD (past) Authorized official

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1376452862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E 78TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751321",
            "telephone_number": "646-598-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E 78TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751321",
            "telephone_number": "646-598-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC BLOOM THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "646-598-3818",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

• Michael Robert Auten, MD
• Penelope Anne Auten
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• Kimberlee Sue Auth, RPH
• Sharon Auth, L.AC., LMT
• Authentic Insight Psychology PLLC
• Authentic Thriving Mental Health Counseling
• Authenticity Nyc Psychology PLLC
• Authenticity Psychotherapy LCSW PLLC
• Karen Anne Autio, MD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.