Active NPI
Nancy Newman Bloomstein, LICSW
- Clinical Social Worker
- Newton, MA
National Provider Identifier
1427391200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1031289
- Practice address
- 288 Walnut St
Suite 220
Newton, MA 02460-1948 - Phone
- (617) 552-5116
- Fax
- (617) 552-5117
- NPI assigned
- Mar 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1031289 | MA | Primary |
Addresses
Primary practice location
288 Walnut St
Suite 220
Newton, MA 02460-1948
Mailing address
288 Walnut St
Suite 220
Newton, MA 02460-1948
Phone (617) 552-5116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1031289 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364688000000",
"number": "1427391200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 WALNUT ST",
"address_2": "SUITE 220",
"city": "NEWTON",
"state": "MA",
"postal_code": "024601948",
"telephone_number": "617-552-5116",
"fax_number": "617-552-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 WALNUT ST",
"address_2": "SUITE 220",
"city": "NEWTON",
"state": "MA",
"postal_code": "024601948",
"telephone_number": "617-552-5116",
"fax_number": "617-552-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOMSTEIN",
"first_name": "NANCY",
"middle_name": "NEWMAN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-31",
"last_updated": "2013-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1031289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.