Amy M Bloom, LCSW
Individual provider Active NPI Clinical Social Worker · Parkland, FL
NPI 1992146435 · NPPES record last updated Jun 21, 2023
Key facts
- NPI
- 1992146435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW 7260 (FL)
- Practice address
- 5851 Holmberg Rd
3514
Parkland, FL 33067-4536 - Phone
- (561) 445-7631
- NPI assigned
- Jul 12, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6865 Huntington LN
Apt 207
Delray Beach, FL 33446-3011
Phone (561) 445-7631
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140116001567 | FL | Practitioner - Clinical Social Worker | 8921236076 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 7260 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boca Raton Psychiatry, LLC | Current |
Accepting new patients | |
| Amy Bloom Consulting, LLC | Current |
Accepting new patients | |
| Steven M Essig PSYD PA | Past |
Accepting new patients |
Locations
9980 Central Park Blvd N
Ste 210
Boca Raton, FL 33428
Phone (561) 342-8822
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 7260 | FL | Yes |
Addresses
Primary practice location
5851 Holmberg Rd
3514
Parkland, FL 33067-4536
Mailing address
6865 Huntington LN Apt 207
Delray Beach, FL 33446-3011
Phone (561) 445-7631
Other providers in Parkland, FL
- BJ'S Wholesale Club Inc.
- Stacy Black
- Apalonia Blanchard
- Jenyfeer Blanco
- Eric Lawrence Blicker
- Joseph M Bogart
- Vincenzo Bombara
- Alexa Nicole Borodiak
- Stephen Eric Bradbery
- Branches Medical Sick Room Supplies and Equipment
All providers in Parkland, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2023. 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.