Bloom Where Planted Therapy Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM WHERE PLANTED THERAPY SERVICES, PLLC

Practice address

167 S Seguin Ave
New Braunfels, TX 78130-5141

Phone

(210) 645-5749

NPI assigned

Oct 16, 2024

Last updated

Oct 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Desira Campos, LCSWNPI 1134810054

Title

Owner

Phone

(210) 645-5749

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, and the practitioner matching its NPPES authorized official.

• Desira Campos, LCSW

  • Clinical Social Worker
  • New Braunfels, TX
  • NPI 1134810054
  NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1407676042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 SALZACH DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300362",
            "telephone_number": "210-645-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S SEGUIN AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305141",
            "telephone_number": "210-645-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM WHERE PLANTED THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "DESIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-645-5749",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.