Bradley W Bloom
Social Worker, Clinical in Southport, Connecticut
1285424804- Practice location
- 1101 Mill Hill RD, Southport, CT 06890-3020
- Phone
- 203-451-1599
- Fax
- 203-451-1599
- Last updated
- May 7, 2025
Bradley Warren Bloom is a Social Worker, Clinical based in Southport, CT. Bradley Warren Bloom practices in Southport, CT. The NPI Number for Bradley Warren Bloom is 1285424804 and holds a License No. 005722 (CT). The current practice location address for Bradley Warren Bloom is 1101 Mill Hill RD, Southport, CT 06890-3020 and can be reached out via phone at 203-451-1599 and via fax at 203-451-1599.
Provider Profile Details
- NPI Number
- 1285424804
- Provider Name
- Bradley Warren Bloom
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1101 Mill Hill RD, Southport, CT 06890-3020
- Phone Number
- 203-451-1599
- Fax Number
- 203-451-1599
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 7, 2025
- Last Update Date
- May 7, 2025
- Certification Date
- May 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1101 Mill Hill RD
Southport, CT 06890-3020 - City
- Southport
- State
- Connecticut
- Zip
- 06890-3020
- Phone Number
- 203-451-1599
- Fax Number
- 203-451-1599
Provider Business Mailing Address Details
- Address
- 1101 Mill Hill RD
Southport, CT 06890-3020 - City
- Southport
- State
- CT
- Zip
- 06890-3020
- Phone Number
- 203-451-1599
- Fax Number
- 203-451-1599
License Information
- License Number
- 005722
- License State
- CT
- Taxonomy
- 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. | |||
Other Social Worker, Clinical providers near Southport, CT
View all Social Worker, Clinical providers in Southport →- Ana C Messenger, LCSWSocial Worker, Clinical · NPI 1013648393
- Ann M Sandercox, LCSWSocial Worker, Clinical · NPI 1891328225
- Anne-Line BlancoSocial Worker, Clinical · NPI 1669294203
- Elizabeth Perry, LCSWSocial Worker, Clinical · NPI 1205389954
- Heather L Rosenbaum, LCSWSocial Worker, Clinical · NPI 1356085765
- Joelle Smorada LCSW LLCSocial Worker, Clinical · NPI 1467381475
Frequently Asked Questions
What is the NPI number of Bradley W Bloom?
The NPI number of Bradley W Bloom is 1285424804. It was assigned on May 7, 2025 and is currently active in the NPPES registry.
What is the specialty of Bradley W Bloom?
Bradley W Bloom is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005722.
Where does Bradley W Bloom practice?
The practice location is 1101 Mill Hill RD, Southport, CT 06890-3020. The office can be reached at 203-451-1599 (phone) or 203-451-1599 (fax).
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 1285424804 directly on the NPPES registry website.