Audrey Bloom, LCSW
Social Worker, Clinical in Miami, FL. Individual provider (NPI-1).
NPI number1487948972
StatusActive
Last updated in NPPESJun 2, 2011
Details
- NPI
- 1487948972
- Entity type
- Individual (NPI-1)
- Name
- Ms. Audrey Bloom
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2011
- Last updated
- Jun 2, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10388 | FL | Yes |
Practice location
2000 S Dixie HwySuite 104, Coconut Grove Center
Miami, FL 33133-2456
Phone 305-301-8251
Mailing address
17142 Sw 112th CtMiami, FL 33157-3907
Phone 305-301-8251
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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