Madison Bloom, BS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1010 E Rose St
Lakeland, FL 33801-2016

Phone

(863) 413-3126

NPI assigned

Mar 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1447050919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 NE GOOSEBERRY ST",
            "city": "LEE",
            "state": "FL",
            "postal_code": "320594469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E ROSE ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012016",
            "telephone_number": "863-413-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MADISON",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami Blevins, APRN
• Steve Blicblum, M.D.
• BLM Lakeland Inc (H & H Transport)
• Brenda Blockus, MS
• Bloom Counseling LLC
• Benroe W Blount, M.D.
• Maxon Sloane Blow, LAT, ATC, CES
• Tahnin Anthony Bluangtook
• Blue Leaf Therapy
• Bluebyrd Wound and Lymphatic Care and Consultation Services LLC

• Social Worker in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.