Robert Jeffrey Bloom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14644 Issued in CA

Practice address

344 Placerville Dr Ste 17
Placerville, CA 95667-3972

Phone

(530) 621-6332

Fax

(530) 622-1293

NPI assigned

Apr 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• El Dodrado Mental Health

  • Mental Illness Community Based Residential Treatment Facility
  • Placerville, CA
  • NPI 1992947493
  Authorized official Same address or phone

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942322052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3082 WILTSE RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675924",
            "telephone_number": "530-621-2093",
            "fax_number": "530-622-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 PLACERVILLE DR STE 17",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956673972",
            "telephone_number": "530-621-6332",
            "fax_number": "530-622-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "ROBERT",
        "middle_name": "JEFFREY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtnie Billett, M.D.
• Patty Anne Billingham, MFT
• Yasmine Binghalib
• Douglas S Bishop, M.D.
• Heather Rain Blackburn, RADT
• Teresa Blubaugh, PTA
• Stephen Duame Blue
• Lisa Blythe, MS, RD, CNSC
• Annabella Boas
• Rachel Bode-Kesler, RASI

• Clinical Social Worker in Placerville, CA
• Providers in Placerville, CA by specialty
• Clinical Social Worker in California

• 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.