NPIMap

Organization Active NPI

Life in Bloom Services PLLC

  • Clinical Social Worker
  • College Place, WA
National Provider Identifier
1497345326
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFE IN BLOOM SERVICES PLLC
Practice address
1016 SE 12TH St
College Place, WA 99324-1844
Phone
(509) 240-6296
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Bobbie Sue Schutter, LCSWNPI 1992075253
Title
Owner
Phone
(509) 301-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1016 SE 12TH St
College Place, WA 99324-1844

Mailing address

500 S College Ave Unit 241
College Place, WA 99324-0909
Phone (509) 240-6296

National Provider Directory

National Provider Directory

Locations

500 S College Ave
Unit 241
College Place, WA 99324
Phone (509) 240-6296

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1497345326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S COLLEGE AVE UNIT 241",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993240909",
            "telephone_number": "509-240-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 SE 12TH ST",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241844",
            "telephone_number": "509-240-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN BLOOM SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "SCHUTTER",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-301-7300",
        "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": []
}

Other providers in College Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.