| Bloom Associates, Llc | |
|
210 West Front Street Suite 206a Red Bank NJ 07701 | |
| (908) 239-8076 | |
| Not Available |
| Full Name | Bloom Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 210 West Front Street, Red Bank, New Jersey |
| Authorized Official Name and Position | Ellen M. Bloom-rau (THERAPIST) |
| Authorized Official Contact | 9082398076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Associates, Llc 14 Clavendon Court Middletown NJ 07748 Ph: (908) 239-8076 | Bloom Associates, Llc 210 West Front Street Suite 206a Red Bank NJ 07701 Ph: (908) 239-8076 |
| NPI Number | 1598134868 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 02/07/2017 |
| Medicare PECOS PAC ID | 7719297803 |
|---|---|
| Medicare Enrollment ID | O20151102000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598134868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05647000 (New Jersey) | Primary |
| Provider Name | Ellen Bloom-rau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487064960 PECOS PAC ID: 8628388717 Enrollment ID: I20151102000786 |
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