Bloom Haven Mental Health L.L.C
NPI 1245170687ActiveOrganization· Social Worker, Clinical· Cordova, TN
Social Worker, Clinical in Cordova, Tennessee, registered in NPPES in March 2026. The authorized official on file is Saja B. Mboge, DSW, LCSW, Chief Executive Officer.
Overview
| NPI | 1245170687 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2026 |
| Last updated in NPPES | Apr 23, 2026 |
| Certified by provider | Apr 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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