Blom Counseling Services
Organization Active NPI Clinical Social Worker · Pella, IA
NPI 1649975434 · NPPES record last updated Apr 29, 2023
Key facts
- NPI
- 1649975434
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BLOM COUNSELING SERVICES
- Practice address
- 610 Maple St
Pella, IA 50219-1142 - Phone
- (641) 780-3421
- NPI assigned
- Apr 3, 2023
- Organization subpart
- No
Authorized official
- Name
- Morgan Blom, LISW
- Title
- Owner
- Phone
- (641) 780-3421
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230512001665 | IA | Part B Supplier - Clinic/Group Practice | 0244696433 |
Receives reassigned benefits from 1 practitioner Practice locations: Newton, IA |
National Provider Directory
Locations
300 E 17th St S
Ste 400
Newton, IA 50208
Phone (641) 780-3421
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
610 Maple St
Pella, IA 50219-1142
Mailing address
610 Maple St
Pella, IA 50219-1142
Phone (641) 780-3421
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.