Organization Active NPI

Seed to Bloom Creative Healing, LLC

  • Clinical Social Worker
  • Eau Claire, WI
National Provider Identifier
1396638490
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SEED TO BLOOM CREATIVE HEALING, LLC
Practice address
1101 W Clairemont Ave Ste 2F
Eau Claire, WI 54701-6161
Phone
(608) 322-6929
Fax
(608) 322-6929
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Tiffany Elizabeth Moberg, LCSW
Title
Owner/Therapist
Phone
(608) 322-6929

Specialties & licenses 1

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

Addresses

Primary practice location

1101 W Clairemont Ave Ste 2F
Eau Claire, WI 54701-6161

Mailing address

3711 Jeffers Rd
Eau Claire, WI 54703-1489
Phone (608) 322-6929

National Provider Directory

National Provider Directory

Locations

1101 W Clairemont Ave
Ste 2F
Eau Claire, WI 54701
Phone (608) 322-6929

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1396638490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 JEFFERS RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031489",
            "telephone_number": "608-322-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W CLAIREMONT AVE STE 2F",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016161",
            "telephone_number": "608-322-6929",
            "fax_number": "608-322-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEED TO BLOOM CREATIVE HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "MOBERG",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "608-322-6929",
        "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 Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.