Ellen Bloom-Rau, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SLO5829400 Issued in NJ

Practice address

210 W Front St
Suite 206a
Red Bank, NJ 07701-1155

Phone

(908) 239-8076

NPI assigned

May 5, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

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 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Bloom Associates, LLC

  • Clinical Social Worker
  • Red Bank, NJ
  • NPI 1598134868
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1487064960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CLAVENDON CT",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483533",
            "telephone_number": "908-239-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W FRONT ST",
            "address_2": "SUITE 206A",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011155",
            "telephone_number": "908-239-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM-RAU",
        "first_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SLO5829400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolynn Ann Bitzer
• Bonnie Black, LCSW
• Hannah Black, CCC, SLP
• Bloom Associates, LLC
• Bloom Counseling
• Damian Boczar, HIS
• Melissa Boege
• Christopher J Bogues
• Angela Bonavita, MS, BCBA
• Janel Elizabeth Borelli, M.S.,CCC-SLP

• Social Worker in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.