Bloom With Grace, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM WITH GRACE, PLLC

Practice address

600 Park Offices Dr Ste 300
Durham, NC 27709-1012

Phone

(919) 578-2725

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Jasmine Moore, LCSWNPI 1386285237

Title

Owner

Phone

(919) 578-2725

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Moore, LCSW

  • Clinical Social Worker
  • Durham, NC
  • NPI 1386285237
  NPD Authorized official

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1477324598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK OFFICES DR STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277091012",
            "telephone_number": "919-578-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK OFFICES DR STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277091012",
            "telephone_number": "919-578-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM WITH GRACE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-578-2725",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Blodgett, PHD, APRN, AGACNP-BC
• Ellie Blom
• Alexander Blood, M.D.
• Kalena Renee Bloodcloud, MSW, LCSW
• Erika Bloodworth, LCMHC
• Olivia Bloom, DPT
• Kayla Anne Bloomer, BCBA, LBA
• Gerald S Bloomfield Jr., M.D.
• Blooming Minds Therapy
• Britton Ashli Blough, MD

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.