Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bloom Wellness LLC

Organization Clinical Social Worker · NPI 1093523904

Bloom Wellness LLC provides Clinical Social Worker services in Cripple Creek, Colorado. Registered with an NPI since 2024.

In the registry since
2024
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

100 W Bennett Ave
Cripple Creek, CO 80813
Phone: (719) 286-9077
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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 number1093523904
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBloom Wellness LLC
Authorized official Laura Magnuson — Owner, Supervisor, Clinician · (303) 408-8056
NPI enumeratedDecember 23, 2024
Last updated in NPPESDecember 23, 2024
Certification dateDecember 18, 2024
Mailing address417 Beaver Pond Rd, Divide, CO 80814-7792

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