Individual ProviderLinda BloomSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5515 Wissahickon Ave, E301, Philadelphia, PA 19144-4554(215) 848-7526PECOS EnrollmentBased on the most recent information from CMS, provider Linda Bloom is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134298458Provider TypeIndividualFull NameBloom, LindaCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date11/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address5515 Wissahickon Ave, E301, Philadelphia, PA 19144-4554Phone(215) 848-7526FaxUnlisted FaxMailing LocationMailing Address5515 Wissahickon Ave, E301, Philadelphia, PA 19144-4554Phone(215) 848-7526FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW003485Pennsylvania