INTEGRAL BLOOM, INC.
NPI 1265820070
Social Worker - Clinical in Boston, MA

Active since December 31, 2014
100 SUMMER ST STE 1600, BOSTON, MA 02110(857) 231-0376(617) 412-3135 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Integral Bloom, Inc. NPPES

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

INTEGRAL BLOOM, INC. (NPI 1265820070) is a healthcare organization registered as a clinical in Boston, Massachusetts and active in the NPI registry since December 2014. The organization lists Maria Camille Mellano, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1265820070
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINTEGRAL BLOOM, INC.
Location Address100 SUMMER ST STE 1600Boston, MA 02110-2104
Mailing Address525 Common St # H101Belmont, MA 02478-4454 · (617) 913-3898 · Fax (617) 412-3135
Fax(617) 412-3135
Organization SubpartNo
Authorized OfficialMaria Camille MellanoOwner, President · (617) 913-3898
Enumeration DateDecember 31, 2014
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1265820070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 111055
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.
100 SUMMER ST STE 1600, Boston, MA 02110

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integral Bloom, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Integral Bloom, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1578772588
100 SUMMER ST STE 1600
Boston, MA 02110
(617) 913-3898
✔ PECOSSame address

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

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 Integral Bloom, Inc.'s NPI number?

The NPI number for Integral Bloom, Inc. is 1265820070. It was assigned to this organization in the NPPES registry on December 31, 2014.

Where is Integral Bloom, Inc. located?

Integral Bloom, Inc. is located at 100 Summer St Ste 1600, Boston, MA 02110. The listed phone number is (857) 231-0376.

What is Integral Bloom, Inc.'s specialty?

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

Is Integral Bloom, Inc. enrolled in Medicare?

Yes. Integral Bloom, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integral Bloom, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Integral Bloom, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integral Bloom, Inc. was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.