Bloom to Vitality Therapy, LLC
Organization Active NPI Clinical Social Worker · Hermitage, PA
NPI 1831079839 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1831079839
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BLOOM TO VITALITY THERAPY, LLC
- Practice address
- 1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501 - Phone
- (724) 300-3521
- NPI assigned
- Sep 3, 2025
- Organization subpart
- No
Authorized official
- Name
- Michelle Lombardo, LCSW
- Title
- Owner
- Phone
- (724) 300-3521
Practitioners 1
-
Michelle Lynn Lombardo, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251230002960 | PA | Part B Supplier - Clinic/Group Practice | 3375039274 |
Receives reassigned benefits from 1 practitioner Practice locations: Hermitage, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501
Mailing address
1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501
Phone (724) 300-3521
Other providers in Hermitage, PA
- Tammy Bilunka
- Lindsay Biondi
- Annette Blackwell
- Michelle Lynn Blaire
- Martha L Blazer
- Jerome H Bonier
- Debra Bornes
- Gina Bosworth
- Sierah Bowman
- Judith Laura Bowser
All providers in Hermitage, 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 Jan 21, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.