Organization Active NPI

Doronit S. Bloomenthal, Licsw, LLC

  • Clinical Social Worker
  • Westford, MA
National Provider Identifier
1942954862
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DORONIT S. BLOOMENTHAL, LICSW, LLC
Practice address
234 Littleton Rd Ste 1D
Westford, MA 01886-3530
Phone
(978) 467-4423
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Doronit Shlank-Bloomenthal, LICSWNPI 1205085636
Title
Manager
Phone
(978) 467-4423

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

234 Littleton Rd Ste 1D
Westford, MA 01886-3530

Mailing address

234 Littleton Rd Ste 1D
Westford, MA 01886-3530
Phone (978) 467-4423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230608001093 MA Part B Supplier - Clinic/Group Practice 3971960865 Receives reassigned benefits from 1 practitioner
Practice locations: Concord, MA

National Provider Directory

National Provider Directory

Locations

336 Baker Ave
#111A
Concord, MA 01742
Phone (978) 467-4423

234 Littleton Rd
Ste 1D
Westford, MA 01886
Phone (978) 392-5998

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1942954862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 LITTLETON RD STE 1D",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863530",
            "telephone_number": "978-467-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 LITTLETON RD STE 1D",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863530",
            "telephone_number": "978-467-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORONIT S. BLOOMENTHAL, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "SHLANK-BLOOMENTHAL",
        "authorized_official_first_name": "DORONIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-467-4423",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.