JUDITH F. BLOOM LICSW
NPI 1497810683
Social Worker - Clinical in Old Saybrook, CT

Active since December 27, 2006
20 RESEARCH PKWY, SUITE C, OLD SAYBROOK, CT 06475(800) 370-3651(860) 510-0020 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judith F. Bloom Licsw NPPES

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

JUDITH F. BLOOM LICSW (NPI 1497810683) is an individual clinical provider in Old Saybrook, Connecticut, licensed in Rhode Island (ISW01344) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1497810683
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJUDITH F. BLOOMCredential: LICSW
Location Address20 RESEARCH PKWY, SUITE COld Saybrook, CT 06475-4214
Mailing Address10 Grotto AveProvidence, RI 02906-5517 · (401) 450-5916 · Fax (860) 510-0020
Fax(860) 510-0020
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 9, 2013
NPI 1497810683 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 RI · ISW01344
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.
20 RESEARCH PKWY, Old Saybrook, CT 06475

Other Identifiers 4

Other413409Blue Chip
Other1021740Nhp Group Number
Other31344-7Blue Cross Blue Shield
MedicaidJB01344RI

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.

Social Worker (Clinical)
20 RESEARCH PKWY, SUITE C
OLD SAYBROOK, CT 06475
Nurse Practitioner (Psychiatric/Mental Health)
20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
Social Worker (Clinical)
20 RESEARCH PKWY, SUITE C
OLD SAYBROOK, CT 06475
Social Worker (Clinical)
20 RESEARCH PKWY, MEDOPTIONS BEHAVIORAL HEALTH ASSOCIATES LLC
OLD SAYBROOK, CT 06475
Nurse Practitioner (Family)
20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
Social Worker (Clinical)
20 RESEARCH PKWY, C
OLD SAYBROOK, CT 06475
Psychologist (Clinical)
20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
Nurse Practitioner (Psychiatric/Mental Health)
20 RESEARCH PKWY
OLD SAYBROOK, CT 06475

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 Judith Bloom's NPI number?

The NPI number for Judith Bloom is 1497810683. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Judith Bloom located?

Judith Bloom practices at 20 Research Pkwy Suite C, Old Saybrook, CT 06475. The listed phone number is (800) 370-3651.

What is Judith Bloom'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 Judith Bloom was last updated on August 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.