Madeleine Blum

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

680110375 Issued in MI

Practice address

28000 Woodward Ave
Royal Oak, MI 48067-0960

Phone

(248) 395-3777

NPI assigned

Sep 16, 2016

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

State licenses

Practice roles

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.

• Healthcall of Detroit

  • Nursing Care Agency
  • Royal Oak, MI
  • NPI 1497760086
  NPD (past)

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1508314683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 LARKMOOR BLVD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721992",
            "telephone_number": "248-794-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28000 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670960",
            "telephone_number": "248-395-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13653 Elgin St",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "MI",
            "postal_code": "482371115",
            "country_code": "US",
            "telephone_number": "248-794-7708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "MADELEINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "680110375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Pediatric Rehabilitation
• Richard John Bloomingdale, MD
• Blue Springs Physical Therapy LLC
• Danielle Bluford
• Adina M Blum, O.D.
• Jack Anthony Blumberg, MD/MBA
• Joel Blumenfeld, LLMSW
• Marissa Sarah Blumenthal, PHARMD
• Susan Kim Blust, PT
• BM Healthcare PLLC

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.