BARBARA BLOM (LCSW, CAC) – Counselor, NPI 1033428115

BARBARA BLOM (LCSW, CAC) is a healthcare provider. based in Plymouth, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, CAC. They hold a License No. 680101058302 (MI). The NPI Number for BARBARA BLOM (LCSW, CAC) is 1033428115

Main info

Female
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
BARBARA BLOM (LCSW, CAC)
NPI
1033428115
Phone
(734) 416-3341
Address
477 S MAIN ST
Enumeration Date
6 October 2010
Last Update Date
26 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346466031
Graduation Year
1990 (36 years ago)
PAC ID
0840469508
Professional Enrollment ID
I20110815000184
Address ID
MI481701493PL409XXRDXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for BARBARA BLOM (LCSW, CAC)

  • 477 S MAIN ST

    PLYMOUTH, MI 481701708

    Phone: (734) 416-3341

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110815000184IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48170)

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Reviews

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Frequently asked questions

What is BARBARA BLOM (LCSW, CAC)'s NPI number?
BARBARA BLOM (LCSW, CAC)'s NPI is 1033428115 — the number used across U.S. healthcare to identify this provider.
Is there an active status for BARBARA BLOM (LCSW, CAC)?
For scheduling context, BARBARA BLOM (LCSW, CAC) is shown as active in the registry.
What clinical focus is listed for BARBARA BLOM (LCSW, CAC)?
At a glance, BARBARA BLOM (LCSW, CAC) is tied to Counselor. Clinical services aligned with this taxonomy classification.
Is BARBARA BLOM (LCSW, CAC) associated with Plymouth?
Public fields place BARBARA BLOM (LCSW, CAC) around Plymouth, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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