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

Blossom Therapy and Wellness

Organization Clinical Social Worker · NPI 1558232900

Blossom Therapy and Wellness is a Clinical Social Worker in Clark, New Jersey. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

68 Saint Germain Dr
Clark, NJ 07066-2628
Phone: (848) 467-0248
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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 number1558232900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Bethavas — Owner · (848) 467-0248
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address68 Saint Germain Dr, Clark, NJ 07066-2628

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