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

Individual provider Clinical Social Worker · NPI 1104900117

Helena Bloomingdale, LICSW is a Clinical Social Worker in Medford, Massachusetts. Practices as a sole proprietor. Licensed in Connecticut and Massachusetts.

Licensed in
CT, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

101 Boston Ave # 2
Medford, MA 02155-3570
Phone: (617) 710-1368
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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 · Licence 114436 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 15200 (CT)

Record details

NPI number1104900117
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

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