Autumn Hillary Bloom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017618 Issued in PA

Practice address

26 S 2ND St
Suite 201
Clearfield, PA 16830-2346

Phone

(814) 577-3444

NPI assigned

Sep 15, 2009

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 PA

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

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.

• Clearfield Hospital

  • General Acute Care Hospital
  • Clearfield, PA
  • NPI 1245402411
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1699008185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S 2ND ST",
            "address_2": "SUITE 201",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302346",
            "telephone_number": "814-762-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S 2ND ST",
            "address_2": "SUITE 201",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302346",
            "telephone_number": "814-577-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "AUTUMN",
        "middle_name": "HILLARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Belkowski
• David A. Bell, D.M.D.
• Baren Berg
• Stephanie Lyn Beyer, NCC, LAPC
• Barbara Blakely, CRNA
• Kenneth Bodle
• Richard O Bolden, M.D.
• Jamie L Bortot, DPT
• Danielle D Boyles, CHES
• Lauren Nicole Bressler

• Clinical Social Worker in Clearfield, PA
• Providers in Clearfield, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.