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LYNN MARIE BLOOM LICSW
NPI 1255734240
Social Worker - Clinical in Golden Valley, MN

Active since October 03, 2014PECOS Enrolled
5905 GOLDEN VALLEY RD, SUITE 100, GOLDEN VALLEY, MN 55422(763) 225-4052(888) 965-5130 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lynn Marie Bloom Licsw NPPES

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

LYNN MARIE BLOOM LICSW (NPI 1255734240) is an individual clinical provider in Golden Valley, Minnesota, licensed in Minnesota (14996) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255734240
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLYNN MARIE BLOOMCredential: LICSW
Location Address5905 GOLDEN VALLEY RD, SUITE 100Golden Valley, MN 55422-4463
Mailing Address5905 Golden Valley Rd, Suite 100Golden Valley, MN 55422-4463 · (763) 225-4052 · Fax (888) 965-5130
Phone(763) 225-4052
Fax(888) 965-5130
Sole ProprietorNo
Enumeration DateOctober 3, 2014
✔ NPI 1255734240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 14996
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 302028 (MN)
5905 GOLDEN VALLEY RD, Golden Valley, MN 55422
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynn Marie Bloom 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 Reassignment

Medicare enrollment records show Lynn Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Volunteers Of America Of Minnesota
Same address
Psychologist
5905 GOLDEN VALLEY RD, SUITE 100
Golden Valley, MN 55422
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Volunteers Of America Mn/Wi
  • 12 clinicians in this Medicare group
NPI 1174799621 (763) 225-4052

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 55422 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVA JOAN STAUFFER LICSW
Social Worker (Clinical)
5905 GOLDEN VALLEY RD, SUITE 100
GOLDEN VALLEY, MN 55422
Hennepin County (612) 617-7802
ELEANOR JAILER-COLEY
Social Worker (Clinical)
5905 GOLDEN VALLEY RD, SUITE 100
GOLDEN VALLEY, MN 55422
Hennepin County (763) 225-4052
PAIGE R COOPER LICSW
Social Worker (Clinical)
5905 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Hennepin County (952) 564-0616
VOLUNTEERS OF AMERICA OF MINNESOTA
Psychologist
5905 GOLDEN VALLEY RD, SUITE 100
GOLDEN VALLEY, MN 55422
Hennepin County (763) 225-4052
ANGELA DEE HOWARD MSW, LICSW
Social Worker (Clinical)
5905 GOLDEN VALLEY RD, SUITE 110
GOLDEN VALLEY, MN 55422
Hennepin County (763) 225-4047
JEWISH FAMILY & CHILDREN'S SERVICE OF MPLS
Case Management
5905 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Hennepin County (952) 546-0616
RUTH PALEY MA
Social Worker (Clinical)
5905 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Hennepin County (952) 546-0616
MRS. SAMANTHA ELIZABETH TALEFF SHEPHERD LICSW
Social Worker (Clinical)
5905 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422
Hennepin County (952) 546-0616

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 Lynn Bloom's NPI number?

The NPI number for Lynn Bloom is 1255734240. It was assigned to this individual provider in the NPPES registry on October 3, 2014.

Where is Lynn Bloom located?

Lynn Bloom practices at 5905 Golden Valley Rd Suite 100, Golden Valley, MN 55422. The listed phone number is (763) 225-4052.

What is Lynn Bloom's specialty?

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

Is Lynn Bloom enrolled in Medicare?

Yes. Lynn Bloom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lynn Bloom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Bloom reassigns Medicare benefits to Volunteers Of America Of Minnesota (Golden Valley, MN). The 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 Lynn Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lynn Bloom was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.