Autumn Hillary Bloom, LCSW
Individual provider Active NPI Clinical Social Worker · Clearfield, PA
NPI 1699008185 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1699008185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW017618 (PA)
- Practice address
- 26 S 2ND St
Suite 201
Clearfield, PA 16830-2346 - Phone
- (814) 577-3444
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140409000141 | PA | Practitioner - Clinical Social Worker | 2264664119 | Practice locations: Clearfield, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW017618 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearfield Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW017618 | PA | Yes |
Addresses
Primary practice location
26 S 2ND St
Suite 201
Clearfield, PA 16830-2346
Mailing address
26 S 2ND St
Suite 201
Clearfield, PA 16830-2346
Phone (814) 762-5548
Other providers in Clearfield, PA
- David A. Bell
- Katie Bell
- Baren Berg
- Stephanie Lyn Beyer
- Barbara Blakely
- Kenneth Bodle
- Richard O Bolden
- Jamie L Bortot
- Danielle D Boyles
- Emilee Brown
All providers in Clearfield, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.