MEDICARE: BLOOMPOINTS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1104464791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOMPOINTS, PLLC

Provider Business Mailing Address
First Line	:	1 E SUPERIOR ST STE 506
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2593
Country	:	US
Telephone Number	:	312-219-4136
Fax Number	:	312-883-0617

Provider Business Practice Location Address
First Line	:	1 E SUPERIOR ST STE 506
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2593
Country	:	US
Telephone Number	:	312-481-8521
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MR. DAVID HARKER LEWIS
Credential	:	LCSW
Telephone Number	:	312-219-4136

Provider Enumeration Date	:	12/14/2019
Last Update Date	:	09/02/2025

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