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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: October 18, 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
Phone(617) 710-1368
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Helena Bloomingdale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychotherapy Associates Of North Reading
12 mi
Clinical
324 MAIN ST
North Reading, MA 01864
  • Reassigned Medicare billing, Massachusetts enrollment
  • 15 clinicians in this Medicare group
NPI 1558463067 (978) 664-2566
Mental Health Specialty Group PA
608 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Massachusetts enrollment
  • 78 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Helena Bloomingdale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Helena Bloomingdale reassigns Medicare benefits to 2 organizations: Psychotherapy Associates Of North Reading (North Reading, MA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Helena Bloomingdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Helena Bloomingdale accept?

Health plans from 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.