Individual provider Active NPI

Tobi E. Bloomwald, LICSW

  • Clinical Social Worker
  • Mansfield, MA
National Provider Identifier
1790939890
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110143 Issued in MA
Practice address
200 Copeland Dr
Mansfield, MA 02048-1225
Phone
(508) 339-4144
Fax
(508) 261-9940
NPI assigned
Nov 17, 2008
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110143 MA Primary

Addresses

Primary practice location

200 Copeland Dr
Mansfield, MA 02048-1225

Mailing address

200 Copeland Dr
Mansfield, MA 02048-1225
Phone (508) 339-4144

Other practice location 1

70 main st
taunton, MA 02780
Phone (508) 821-7777 ext. 735

Other practice location 2

170 Draper Ave
North Attleboro, MA 02760-3604
Phone (508) 643-9460

Other identifiers 1

IdentifierTypeStateIssuer
1309161MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20100212000175 MA Practitioner - Clinical Social Worker 8527102623 Reassigns benefits to 3 organizations
Practice locations: Stoughton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sturdy Health IncGroup PAC ID 9537152806, shared by 17 NPIs, 191 clinicians

Practice addresses (Care Compare)

170 Draper Ave
N Attleboro, MA 02760-3604
Phone (508) 695-9421

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 698-0055

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
69.5
Promoting interoperability
100
Improvement activities
40
Cost
72.15

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as group
Quality
65.25
Promoting interoperability
100
Improvement activities
40
Cost
71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Health Inc CurrentSince Aug 30, 2020 Accepting new patients
Sturdy Health Inc CurrentSince Jan 3, 2018 Accepting new patients
Sturdy Memorial Hospital Inc CurrentSince Nov 1, 2010 Accepting new patients
Sturdy Health, Inc. CurrentSince Jan 3, 2018 Accepting new patients

Locations

200 Copeland Dr
Mansfield, MA 02048
Phone (508) 339-4144

170 Draper Ave
North Attleboro, MA 02760
Phone (508) 695-2697

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1790939890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COPELAND DR",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481225",
            "telephone_number": "508-339-4144",
            "fax_number": "508-261-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COPELAND DR",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481225",
            "telephone_number": "508-339-4144",
            "fax_number": "508-261-9940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 main st",
            "address_purpose": "LOCATION",
            "city": "taunton",
            "state": "MA",
            "postal_code": "02780",
            "country_code": "US",
            "telephone_number": "508-821-7777 x735",
            "fax_number": "508-822-2601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Draper Ave",
            "address_purpose": "LOCATION",
            "city": "North Attleboro",
            "state": "MA",
            "postal_code": "027603604",
            "country_code": "US",
            "telephone_number": "508-643-9460",
            "fax_number": "508-695-1341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOMWALD",
        "first_name": "TOBI",
        "middle_name": "E.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.