Individual provider · Type 1 NPI
Helena Bloomingdale, LICSW
Clinical Social Worker · Medford, MA
Practice location
101 Boston Ave # 2
Medford, MA 02155-3570
Mailing address
10 Mckenney Cir
Andover, MA 01810-1313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 15200 (CT) |
| Clinical Social Worker Primary | 1041C0700X | 114436 (MA) |
Clinical Social Worker: 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 interpers…
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About NPI 1104900117
Helena Bloomingdale, LICSW's National Provider Identifier is 1104900117, issued on Oct 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, MA. The record was last updated on Mar 11, 2026.