Judith F Bloom, LICSW | |
20 Research Pkwy, Suite C, Old Saybrook, CT 06475-4214 | |
(800) 370-3651 | |
(860) 510-0020 |
Full Name | Judith F Bloom |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 20 Research Pkwy, Old Saybrook, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497810683 | NPI | - | NPPES |
413409 | Other | BLUE CHIP | |
1021740 | Other | NHP GROUP NUMBER | |
31344-7 | Other | BLUE CROSS BLUE SHIELD | |
JB01344 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW01344 (Rhode Island) | Primary |
Mailing Address | Practice Location Address |
---|---|
Judith F Bloom, LICSW 10 Grotto Ave, Providence, RI 02906-5517 Ph: (401) 450-5916 | Judith F Bloom, LICSW 20 Research Pkwy, Suite C, Old Saybrook, CT 06475-4214 Ph: (800) 370-3651 |
Patricia A Colella, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy, Suite C, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 | |
Virginia Becker Rhodes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 841 Middlesex Tpke, Old Saybrook, CT 06475 Phone: 860-395-0111 Fax: 860-395-1264 | |
Michael Momparler, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18 Reed Ct, Old Saybrook, CT 06475 Phone: 860-388-8831 | |
Mr. Ethan A. Kelly, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 263 Main St, Old Saybrook, CT 06475 Phone: 860-395-6380 Fax: 860-395-6382 | |
Diane Achenbach-zatorsk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy Ste C, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 | |
Chelsea Wright Graham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 322 Main St, Old Saybrook, CT 06475 Phone: 860-510-5047 | |
Larry Weston Shobe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pkwy, Suite C, Old Saybrook, CT 06475 Phone: 800-370-3651 Fax: 860-510-0020 |