Active NPI
Dylan Gabriel Bloom, LCSW
- Clinical Social Worker
- Plainfield, IL
National Provider Identifier
1427761824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149032201
- Practice address
- 15724 S Route 59 Ste 102
Plainfield, IL 60544-2806 - Phone
- (630) 527-8877
- Fax
- (630) 527-8877
- NPI assigned
- Dec 30, 2022
- Last updated
- Oct 6, 2026
- Sex
- Male
- 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 | 149032201 | IL | Primary |
Addresses
Primary practice location
15724 S Route 59 Ste 102
Plainfield, IL 60544-2806
Mailing address
15724 S Route 59 Ste 102
Plainfield, IL 60544-2806
Phone (630) 527-8877
Other practice location 1
2677 US Highway 34 Ste 102
Oswego, IL 60543-8633
Phone (630) 527-8877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149032201 | Other | IL | LCSW |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Althea R Olson PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1427761824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15724 S ROUTE 59 STE 102",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442806",
"telephone_number": "630-527-8877",
"fax_number": "630-527-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15724 S ROUTE 59 STE 102",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442806",
"telephone_number": "630-527-8877",
"fax_number": "630-527-8877"
}
],
"practiceLocations": [
{
"address_1": "2677 US Highway 34 Ste 102",
"address_purpose": "LOCATION",
"city": "Oswego",
"state": "IL",
"postal_code": "605438633",
"country_code": "US",
"telephone_number": "630-527-8877",
"fax_number": "630-527-8877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOOM",
"first_name": "DYLAN",
"middle_name": "GABRIEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-30",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149032201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "149032201",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.