HELENA BLOOMINGDALE LICSW
NPI 1104900117
Social Worker - Clinical in Medford, MA

Active since October 25, 2006PECOS Enrolled
101 BOSTON AVE # 2, MEDFORD, MA 02155(617) 710-1368 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Helena Bloomingdale Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HELENA BLOOMINGDALE LICSW (NPI 1104900117) is an individual clinical provider in Medford, Massachusetts, licensed in Massachusetts (114436) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104900117
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHELENA BLOOMINGDALECredential: LICSW
Location Address101 BOSTON AVE # 2Medford, MA 02155-3570
Mailing Address10 Mckenney CirAndover, MA 01810-1313
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
NPI 1104900117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MA · 114436 Licensed in CT · 15200
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

101 BOSTON AVE # 2, Medford, MA 02155

Other Names 1

Other Name (5)Mrs. Helena Z.s. Bloomingdale Licsw

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Helena Bloomingdale Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Helena Bloomingdale's NPI number?

The NPI number for Helena Bloomingdale is 1104900117. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Mrs. Helena Z.S. Bloomingdale Licsw.

Where is Helena Bloomingdale located?

Helena Bloomingdale practices at 101 Boston Ave # 2, Medford, MA 02155. The listed phone number is (617) 710-1368.

What is Helena Bloomingdale's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Helena Bloomingdale enrolled in Medicare?

Yes. Helena Bloomingdale is registered in the Medicare PECOS enrollment system.

What insurance does Helena Bloomingdale accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Helena Bloomingdale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Helena Bloomingdale was last updated on March 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.