Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blossom Therapy and Wellness

Organization Clinical Social Worker · NPI 1558232900

Blossom Therapy and Wellness provides Clinical Social Worker services in Clark, New Jersey. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

68 Saint Germain Dr
Clark, NJ 07066-2628
Phone: (848) 467-0248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1558232900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Bethavas — Owner · (848) 467-0248
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address68 Saint Germain Dr, Clark, NJ 07066-2628

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