Organization Active NPI

Sage in Bloom Wellness LCSW PLLC

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1811857600
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAGE IN BLOOM WELLNESS LCSW PLLC
Practice address
4080 Broadway # 232
New York, NY 10032-1572
Phone
(646) 470-5198
NPI assigned
Nov 13, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Meyoshi Abreu, LCSWNPI 1801562293
Title
Owner
Phone
(646) 470-5198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4080 Broadway # 232
New York, NY 10032-1572

Mailing address

4080 Broadway # 232
New York, NY 10032-1572
Phone (646) 470-5198

National Provider Directory

National Provider Directory

Locations

4080 Broadway
#232
New York, NY 10032
Phone (516) 277-6121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1811857600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 BROADWAY # 232",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321572",
            "telephone_number": "646-470-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 BROADWAY # 232",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321572",
            "telephone_number": "646-470-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE IN BLOOM WELLNESS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "MEYOSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-470-5198",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.