Rebecca J Bloomgarden Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1293 Issued in OK

Legal business name

REBECCA J BLOOMGARDEN INC

Practice address

10400 Greenbriar PL
Suite 104
Oklahoma City, OK 73159-7637

Phone

(405) 692-3015

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca J Bloomgarden, LCSWNPI 1790726172

Title

President

Phone

(405) 692-3015

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Bloomgarden, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1790726172
  Authorized official Same address or phone

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982791216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 GREENBRIAR PL",
            "address_2": "SUITE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597637",
            "telephone_number": "405-692-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 GREENBRIAR PL",
            "address_2": "SUITE 104",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597637",
            "telephone_number": "405-692-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA J BLOOMGARDEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOOMGARDEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-692-3015",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF OKLA",
            "identifier": "315482873-001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Reason
• Elisha J Reasoner, COTA
• Alyson Marie Reather, LCSW
• Jacquelyn Faye Reaves, OTR
• Rebecca a. Feliciano, M.D., Inc
• Rebel Buersmeyer, LLC
• Ronald Luke Rebenitsch, M.D.
• Kimberley Reber, LMT
• Kristin L Rebik, DO
• Rebound Medical Inc

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.