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Blossom Therapy and Wellness

Clinical Social Worker in Clark, NJ · enumerated 2025 · authorized official Nicole Bethavas, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558232900

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Registry record

Entity type Organization (Type 2)
Legal business name Blossom Therapy and Wellness
Practice address 68 Saint Germain Dr, Clark, NJ, 07066
Phone (848) 467-0248
Enumeration date Sep 17, 2025
Last updated in NPPES Sep 17, 2025

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Nicole Bethavas
Title Owner
Phone (848) 467-0248

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Blossom Therapy and Wellness?
The NPI for Blossom Therapy and Wellness is 1558232900, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Blossom Therapy and Wellness?
NPPES lists Nicole Bethavas (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-17.