Active NPIIndividual provider

Yonetta I Bloomfield, LCSW

Social Worker, Clinical in Eatontown, New Jersey

NPI Number1417677311
Practice location
615 Hope RD Bldg 5B2ND, Eatontown, NJ 07724-1277
Fax
732-389-0611
Last updated
August 31, 2022

Yonetta I Bloomfield is a Social Worker, Clinical based in Eatontown, NJ. Yonetta I Bloomfield practices in Eatontown, NJ and has the professional credentials of LCSW. The NPI Number for Yonetta I Bloomfield is 1417677311 and holds a License No. 44SC06100100 (NJ). The current practice location address for Yonetta I Bloomfield is 615 Hope RD Bldg 5B2ND, Eatontown, NJ 07724-1277 and can be reached out via phone at 732-389-0697 and via fax at 732-389-0611.

Provider Profile Details

NPI Number
1417677311
Provider Name
Yonetta I Bloomfield
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
615 Hope RD Bldg 5B2ND, Eatontown, NJ 07724-1277
Phone Number
732-389-0697
Fax Number
732-389-0611
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2022
Last Update Date
August 31, 2022
Certification Date
August 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
615 Hope RD Bldg 5B2ND
Eatontown, NJ 07724-1277
Zip
07724-1277
Phone Number
732-389-0697
Fax Number
732-389-0611
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
615 Hope RD Bldg 5B2ND
Eatontown, NJ 07724-1277
City
Eatontown
State
NJ
Zip
07724-1277
Phone Number
732-389-0697
Fax Number
732-389-0611

License Information

License Number
44SC06100100
License State
NJ
Taxonomy
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 Yonetta I Bloomfield, LCSW?

The NPI number of Yonetta I Bloomfield, LCSW is 1417677311. It was assigned on August 31, 2022 and is currently active in the NPPES registry.

What is the specialty of Yonetta I Bloomfield, LCSW?

Yonetta I Bloomfield, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06100100.

Where does Yonetta I Bloomfield, LCSW practice?

The practice location is 615 Hope RD Bldg 5B2ND, Eatontown, NJ 07724-1277. The office can be reached at 732-389-0697 (phone) or 732-389-0611 (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 1417677311 directly on the NPPES registry website.

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