Bloom Psychotherapy Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM PSYCHOTHERAPY CENTER LLC

Doing business as

Bloom Psychotherapy Center

Practice address

732 Eden Way N # 228
Chesapeake, VA 23320-2798

Phone

(757) 610-1241

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Catina Williams, LCSWNPI 1093020992

Title

Owner

Phone

(757) 610-1241

Specialties & licenses 1

Addresses

Other names 1

• Bloom Psychotherapy Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catina Williams, LCSW

  • Clinical Social Worker
  • Chesapeake, VA
  • NPI 1093020992
  NPD Authorized official

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1922576834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 EDEN WAY N # 228",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202798",
            "telephone_number": "757-610-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 EDEN WAY N # 228",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202798",
            "telephone_number": "757-610-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PSYCHOTHERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-610-1241",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Psychotherapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bloom Psychotherapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peyton Reisch Blankenship, DPT
• Shelly Bleil, LCSW
• Blessed & Highly Favored Home Health Care LLC
• Blessings Beyond Lessons LLC
• David N. Block, D.C.
• Blooming Minds Therapy LLC
• Emmett Blount III, IDHS
• Vanessa A Blowe, M.D.
• Blue Skies Counseling Coaching Consulting, LLC
• Bmthomas Wellness Center

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.