Sydney Bloom, LMSW-CC
Individual provider Active NPI Social Worker · Windham, ME
NPI 1972482099 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1972482099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- MC25201 (ME)
- Practice address
- 86 Tandberg TRL
Windham, ME 04062-5841 - Phone
- (207) 893-0386
- NPI assigned
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
86 Tandberg TRL
Windham, ME 04062-5841
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC25201 | ME | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day One | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MC25201 | ME | Yes |
Addresses
Primary practice location
86 Tandberg TRL
Windham, ME 04062-5841
Mailing address
86 Tandberg TRL
Windham, ME 04062-5841
Phone (207) 893-0386
Other providers in Windham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.