Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AUTHENTIC BLOOM THERAPY LCSW PLLC
NPI 1376452862
Social Worker - Clinical in New York, NY

Active since September 02, 2026
353 E 78TH ST APT 3D, NEW YORK, NY 10075(646) 598-3818 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Authentic Bloom Therapy Lcsw Pllc NPPES

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

AUTHENTIC BLOOM THERAPY LCSW PLLC (NPI 1376452862) is a healthcare organization registered as a clinical in New York, New York and active in the NPI registry since September 2026. The organization lists Tara Waldman, Psychotherapist/owner, as its authorized official.

NPPES Registry Identity

NPI1376452862
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAUTHENTIC BLOOM THERAPY LCSW PLLC
Location Address353 E 78TH ST APT 3DNew York, NY 10075-1321
Mailing Address353 E 78th St Apt 3dNew York, NY 10075-1321 · (646) 598-3818
Organization SubpartNo
Authorized OfficialTara WaldmanPsychotherapist/owner · (646) 598-3818
Enumeration DateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
NPI 1376452862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
353 E 78TH ST APT 3D, New York, NY 10075

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Authentic Bloom Therapy Lcsw PLLC's NPI number?

The NPI number for Authentic Bloom Therapy Lcsw PLLC is 1376452862. It was assigned to this organization in the NPPES registry on September 2, 2026.

Where is Authentic Bloom Therapy Lcsw PLLC located?

Authentic Bloom Therapy Lcsw PLLC is located at 353 E 78th St Apt 3D, New York, NY 10075. The listed phone number is (646) 598-3818.

What is Authentic Bloom Therapy Lcsw PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Authentic Bloom Therapy Lcsw PLLC was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.