Bloom in Journey PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM IN JOURNEY PLLC

Practice address

2929 Delaware Dr
Fayetteville, NC 28304-3703

Phone

(862) 290-0353

NPI assigned

May 15, 2023

Last updated

Jan 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nadesha Crumbie, LCSWNPI 1891328548

Title

Owner

Phone

(862) 290-0353

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nadesha Crumbie, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1891328548
  NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1588355218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 DELAWARE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043703",
            "telephone_number": "862-290-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 DELAWARE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043703",
            "telephone_number": "862-290-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM IN JOURNEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "CRUMBIE",
        "authorized_official_first_name": "NADESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-290-0353",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evette Lemille Blevins
• Monica Block, OTR/L
• Kyle Paul Blomgren, DO
• Blood & Cancer Clinic, P.a.
• Blood and Cancer Clinic, PA
• Crystal Lynn Bloomer, LPN
• Bridget Blount
• Alexis Renee Blue, LCMHC
• Andrea Blue, RBT
• Carolyn Blue

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.