GWEN BLOOM (LCSW) – Social Worker, NPI 1043415599
Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,724 CLINICAL SOCIAL WORKER in NJ
Provider Addresses for GWEN BLOOM (LCSW)
655 E Jersey St
Dept. Behavioral Health & Psychiatry
Elizabeth, NJ 072061259
Phone: (908) 994-5000
Fax: (908) 994-5000
Type: Location
Trinitas Regional Medical Center New Point Campus, 655, East Jersey Street, Elizabethport, Elizabeth, Union County, New Jersey, 07206, United States
DEPT. BEHAVIORAL HEALTH & PSYCHIATRY
ELIZABETH, NJ 072061259
Phone: (908) 994-5000
Fax: (908) 994-5000
Type: Mailing
428, Hostvetveien, Hostvet, Kongsberg, Viken, 3618, Norway
BRANCHBURG, NJ 088763395
Phone: (732) 501-5917
Type: Location
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: 2016-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160715000546 | I | Clinical Social Worker | NJ | TBD |
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.
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 07206)
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