Deena Bloom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091995 Issued in NY

Practice address

721 Broadway Ste 270
Kingston, NY 12401-3449

Phone

(518) 245-6272

NPI assigned

Nov 5, 2015

Last updated

Jul 17, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearwater Counseling Associates LCSW PLLCGroup PAC ID 4082900188, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Clearwater Counseling Associates LCSW, PLLC

  • Community/Behavioral Health Agency
  • Hyde Park, NY
  • NPI 1700236775
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1780057208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 BROADWAY STE 270",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013449",
            "telephone_number": "518-245-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BROADWAY STE 270",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013449",
            "telephone_number": "518-245-6272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Fairview Ave Ste 99",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125348404",
            "country_code": "US",
            "telephone_number": "518-245-6272 x117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "DEENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096081",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Susan Blackmon, LCSW
• Rebecca Blackwell-Hafner, MSN, FNP-BC
• Albert John Blair III, M.D.
• Michael Paul Blankschen, PHD
• Dean Bloch, MD
• Marsha Bloom
• Blue River Psychiatry NP PLLC
• Sydney L. Blum, LCSW CASAC SAP
• Marcia S Bockelmann, PT ASST
• Sara Bockelmann

• Clinical Social Worker in Kingston, NY
• Providers in Kingston, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.