Active NPIIndividual providerSole proprietor

Ms. Claire T Russell-Bloom, MSW, LICSW

Social Worker, Clinical in Newburyport, Massachusetts

NPI Number1356984645
Practice location
20 Fair St, Newburyport, MA 01950-2847
Fax
—
Last updated
March 27, 2020

Claire T Russell-Bloom is a Social Worker, Clinical based in Newburyport, MA. Claire T Russell-Bloom practices in Newburyport, MA and has the professional credentials of MSW, LICSW. The NPI Number for Claire T Russell-Bloom is 1356984645 and holds a License No. 122527 (MA). The current practice location address for Claire T Russell-Bloom is 20 Fair St, Newburyport, MA 01950-2847 and can be reached out via phone at 978-270-1183.

Provider Profile Details

NPI Number
1356984645
Provider Name
Claire T Russell-Bloom
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
20 Fair St, Newburyport, MA 01950-2847
Phone Number
978-270-1183
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 20, 2019
Last Update Date
March 27, 2020
Certification Date
March 27, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Fair St
Newburyport, MA 01950-2847
Zip
01950-2847
Phone Number
978-270-1183
Newburyport, MA 01950Get directions →

Provider Business Mailing Address Details

Address
20 Fair St
Newburyport, MA 01950-2847
City
Newburyport
State
MA
Zip
01950-2847
Phone Number
978-270-1183

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
122527
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Claire T Russell-Bloom, MSW, LICSW?

The NPI number of Ms. Claire T Russell-Bloom, MSW, LICSW is 1356984645. It was assigned on October 20, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Claire T Russell-Bloom, MSW, LICSW?

Ms. Claire T Russell-Bloom, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122527.

Where does Ms. Claire T Russell-Bloom, MSW, LICSW practice?

The practice location is 20 Fair St, Newburyport, MA 01950-2847. The office can be reached at 978-270-1183 (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 1356984645 directly on the NPPES registry website.

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