Helena Bloomingdale, LICSW
Social Worker, Clinical in Medford, Massachusetts
1104900117- Practice location
- 101 Boston Ave # 2, Medford, MA 02155-3570
- Phone
- 617-710-1368
- Fax
- —
- Last updated
- March 11, 2026
Helena Bloomingdale is a Social Worker, Clinical based in Medford, MA. Helena Bloomingdale practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Helena Bloomingdale is 1104900117 and holds a License No. 15200 (CT). The current practice location address for Helena Bloomingdale is 101 Boston Ave # 2, Medford, MA 02155-3570 and can be reached out via phone at 617-710-1368.
Provider Profile Details
- NPI Number
- 1104900117
- Provider Name
- Helena Bloomingdale
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 101 Boston Ave # 2, Medford, MA 02155-3570
- Phone Number
- 617-710-1368
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- Mrs. Helena Z.s. Bloomingdale, LICSW (Other Name)
- Provider Enumeration Date
- October 25, 2006
- Last Update Date
- March 11, 2026
- Certification Date
- March 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Boston Ave # 2
Medford, MA 02155-3570 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3570
- Phone Number
- 617-710-1368
Provider Business Mailing Address Details
- Address
- 10 Mckenney Cir
Andover, MA 01810-1313 - City
- Andover
- State
- MA
- Zip
- 01810-1313
License Information
- License Number (1)
- 15200
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 114436
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Helena Bloomingdale, LICSW?
The NPI number of Helena Bloomingdale, LICSW is 1104900117. It was assigned on October 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Helena Bloomingdale, LICSW?
Helena Bloomingdale, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 15200.
Where does Helena Bloomingdale, LICSW practice?
The practice location is 101 Boston Ave # 2, Medford, MA 02155-3570. The office can be reached at 617-710-1368 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104900117 directly on the NPPES registry website.