Active NPI
Carena Bloom
- Social Worker
- Tucson, AZ
National Provider Identifier
1518787332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW19713
- Practice address
- 431 N Avenida Carina
Tucson, AZ 85745-2152 - Phone
- (520) 279-2100
- NPI assigned
- Oct 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW19713 | AZ | Primary |
Addresses
Primary practice location
431 N Avenida Carina
Tucson, AZ 85745-2152
Mailing address
431 N Avenida Carina
Tucson, AZ 85745-2152
Phone (520) 279-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW19713 | AZ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Group Providers, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1518787332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 N AVENIDA CARINA",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452152",
"telephone_number": "520-279-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 N AVENIDA CARINA",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452152",
"telephone_number": "520-279-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "CARENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW19713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.