Ricki Bloom, LMSW-P

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

X-10697 Issued in NM

Practice address

1201 3Rd St NW
Albuquerque, NM 87102-1403

Phone

(505) 338-3320

NPI assigned

Jun 9, 2014

Last updated

Oct 31, 2018By the provider in NPPES

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

Enrolled in NM

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haven Behavioral Services of Albuquerque, LLC

  dba Haven Behavioral Hospital of Albuquerque

  • Psychiatric Hospital
  • Albuquerque, NM
  • NPI 1093079303
  Medicare reassignment NPD
• Meridian Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1003458357
  Medicare reassignment NPD

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1588077416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 3RD ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 3RD ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021403",
            "telephone_number": "505-338-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "RICKI",
        "credential": "LMSW-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-10697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Louis Blonski, PT
• Bloom Bilingual Therapy LLC
• Bloom Trauma Therapy LLC
• Bloom Wellness Center, LLC
• Leesa Robin Bloom
• Bloome Healing LLC
• Jessica L Bloome, MA, LPCC
• Jason Corey Bloomer, MSN, RN, CCRN, FANAI
• Blooming Cactus Wellness LLC
• Blooming Tree ABA, LLC

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.