Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Wellness LLC

Organization Clinical Social Worker · NPI 1063136968

Bloom Wellness LLC is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2132 W Roscoe St
Chicago, IL 60618-6241
Phone: (310) 384-3322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1063136968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexandra Marin — Founder/Owner · (310) 384-3322
Other names Mind Body Family
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022
Mailing address2132 W Roscoe St, Chicago, IL 60618-6241

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