Sandra Bloom (NPI# 1548630965, PAC ID# 3375852940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1548630965 |
PAC ID by PECOS | 3375852940 |
Professional Enrollment ID | I20151021002235 |
Full Name | Sandra Bloom |
Organization Legal Name | GREEN RIDGE BEHAVIORAL HEALTH, LLC |
Address |
5216 Chairmans Ct Suite 102 Frederick MD 21703-2858 |
Phone Number | 2406836202 |
Gender | F |
Graduation Year | 2000 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 3476685181 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
5216 Chairmans Ct, Suite 102, Frederick, MD 21703-2858 | 2406836202 | GREEN RIDGE BEHAVIORAL HEALTH, LLC |
Organization Legal Name | GREEN RIDGE BEHAVIORAL HEALTH, LLC |
Physicians | 13 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy Meldau | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
James Ladner | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
Katherine K Jones | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
Angela M Ghersi | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
Samina Yousufi | Psychiatry | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
Bethel N Asres | Physician Assistant | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
Alexia D Luka | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
Craig M Boatman | Psychologist, Clinical | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
Abimbola A Runsewe | Nurse Practitioner | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
Derwin D Harris | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3463 |
Street Address |
5216 CHAIRMANS CT SUITE 102 |
City | FREDERICK |
State | MD |
Zip | 21703-2858 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amir A Rashidian | Chiropractic | 7196 Crestwood Blvd, Suite 100, Frederick, MD 21703-1845 | |
Amr Hegazi | Hematology/oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
Kanan H Hudhud | Hematology/oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
Nouman Asif | Medical Oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
Sadaf Taimur | Hematology/oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
Holly M Gross | Ophthalmology | Central Maryland Eye Associates PC | 5283 Corporate Dr, Suite 201, Frederick, MD 21703-2879 |
Thu T Pham | Ophthalmology | Central Maryland Eye Associates PC | 5283 Corporate Dr, Suite 201, Frederick, MD 21703-2879 |
Amanda Jean Lievendag | Physical Therapy | Red Canyon LLC | 7200 Bank Ct, Suite 110, Frederick, MD 21703-2886 |
Greesh John | Anesthesiology | Pain and Spine Specialists of Maryland LLC | 7200 Bank Ct, Suite 120, Frederick, MD 21703-2886 |
Anitha Nallu | Nephrology | Frederick Kidney Care Associates LLC. | 5205 Chairmans Ct, Suite 100, Frederick, MD 21703-2915 |
Find all physicians in zip 21703 |
City | FREDERICK |
Zip Code | 21703 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | FREDERICK + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.