Innerbloom Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNERBLOOM THERAPY LLC

Practice address

1412 S Legend Hills Dr Ste 327
Clearfield, UT 84015-1592

Phone

(385) 558-8466

NPI assigned

May 12, 2026

Last updated

May 12, 2026By 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

Connie PowellNPI 1215156286

Title

LCSW

Phone

(385) 558-8466

Specialties & licenses 1

Addresses

Locations

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.

• Connie Powell, LCSW

  • Clinical Social Worker
  • Syracuse, UT
  • NPI 1215156286
  NPD Authorized official

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1649108226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S 2200 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840757187",
            "telephone_number": "385-558-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 S LEGEND HILLS DR STE 327",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151592",
            "telephone_number": "385-558-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERBLOOM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "385-558-8466"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Howlett, LCSW
• Isaac Russell Huerta
• Matthew Bryan Hull, D.C.
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• Ron Jackson

• Clinical Social Worker in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.