Jennifer L Bloom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14630 Issued in FL

Practice address

13009 Community Campus
Tampa, FL 33625-4000

Phone

(813) 960-1848

Fax

(813) 265-8239

NPI assigned

Nov 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MI, OH3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MI, OH

  Medicare reassignment Care Compare group NPD
• Blue Moon Senior Counseling

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1205129186

  FL

  Medicare reassignment NPD
• Pathways Consultants Inc.

  • Psychologist
  • Brandon, FL
  • NPI 1396880878
  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1467966606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13009 COMMUNITY CAMPUS",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254000",
            "telephone_number": "813-960-1848",
            "fax_number": "813-265-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13009 COMMUNITY CAMPUS",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254000",
            "telephone_number": "813-960-1848",
            "fax_number": "813-265-8239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "579 Eagle Cir",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454291862",
            "country_code": "US",
            "telephone_number": "614-662-0565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Oakfield Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114954",
            "country_code": "US",
            "telephone_number": "754-800-3261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Mason St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115210",
            "country_code": "US",
            "telephone_number": "754-800-3261",
            "fax_number": "813-689-3815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 S Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121646",
            "country_code": "US",
            "telephone_number": "614-662-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1.1700473",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14630",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wojciech Blonski, MD, PHD
• Barry Ellsworth Blood Jr., LMHC
• Bloom Counseling and Therapeutic Services
• Bloom Family Doctor, PLLC
• Bloom Wellness & Chiropractic, Inc.
• Joshua Alex Bloom, MD
• Marc B Bloom, M.D.
• Marlene R. Bloom, PH.D.
• Matthew D Bloom, MD
• Bloomcare LLC

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.