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GWEN S. BLOOM LCSW LLC
NPI 1558895003
Social Worker - Clinical in Branchburg, NJ

Active since April 11, 2017
3322 ROUTE 22, SUITE 428, BRANCHBURG, NJ 08876(732) 501-5917 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2018, Apr 11, 2017 (2 updates tracked since 2017).

About Gwen S. Bloom Lcsw Llc NPPES

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

GWEN S. BLOOM LCSW LLC (NPI 1558895003) is a healthcare organization registered as a clinical in Branchburg, New Jersey and active in the NPI registry since April 2017. The organization lists Gwen Susan Bloom, Owner, as its authorized official.

NPPES Registry Identity

NPI1558895003
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGWEN S. BLOOM LCSW LLC
Location Address3322 ROUTE 22, SUITE 428Branchburg, NJ 08876-3476
Mailing Address21 Kingswood RdBranchburg, NJ 08876-7428 · (732) 501-5917
Phone(732) 501-5917
Organization SubpartNo
Authorized OfficialGwen Susan BloomOwner · (732) 501-5917
Enumeration DateApril 11, 2017
Last NPPES UpdateMarch 2, 20182 updates tracked since enumeration
✔ NPI 1558895003 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 NJ · 44SC05137300
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.
3322 ROUTE 22, Branchburg, NJ 08876
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwen S. Bloom Lcsw Llc 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 Gwen S. Bloom Lcsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gwen Bloom, LCSW
Clinical Social Worker
NPI 1043415599
3322 RTE 22 STE 428
Branchburg, NJ 08876
(732) 501-5917
✔ PECOS✔ Accepts MedicareSame 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 Gwen S. Bloom Lcsw LLC's NPI number?

The NPI number for Gwen S. Bloom Lcsw LLC is 1558895003. It was assigned to this organization in the NPPES registry on April 11, 2017.

Where is Gwen S. Bloom Lcsw LLC located?

Gwen S. Bloom Lcsw LLC is located at 3322 Route 22 Suite 428, Branchburg, NJ 08876. The listed phone number is (732) 501-5917.

What is Gwen S. Bloom Lcsw LLC's specialty?

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

Is Gwen S. Bloom Lcsw LLC enrolled in Medicare?

Yes. Gwen S. Bloom Lcsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gwen S. Bloom Lcsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Gwen S. Bloom Lcsw LLC. 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 Gwen S. Bloom Lcsw LLC was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.