Daniel J. Bloom, JD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-025871-1 Issued in NY

Practice address

220 W 15TH St
1B
New York, NY 10011-6534

Phone

(212) 674-0404

Fax

(952) 674-0400

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932267788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W 9TH ST",
            "address_2": "6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118945",
            "telephone_number": "212-674-0404",
            "fax_number": "952-674-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 15TH ST",
            "address_2": "1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116534",
            "telephone_number": "212-674-0404",
            "fax_number": "952-674-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "JD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-025871-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "R-0258871-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Bloom, PT
• Barbara Lynn Bloom, L.C.S.W.
• Bradley Stephen Bloom, M.D.
• Brandon Scott Bloom
• Carol Bloom, LCSW
• David Alexander Bloom, MD
• Emily Bloom
• Hannah Leah Bloom
• Heike Bloom, M.A., L.P.
• Howard Eric Bloom, D.D.S.

• Clinical Social Worker in New York, NY
• Providers in New York, 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 8, 2007; 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.