Individual provider · Type 1 NPI

Ada M. Bloom, LISW

Clinical Social Worker · Sandusky, OH

NPI number 1003146853 Active

Practice location

1925 Hayes Ave
Sandusky, OH 44870-4737

Fax (419) 557-5179

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI9849 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003146853

Ada M. Bloom, LISW's National Provider Identifier is 1003146853, issued on Dec 29, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sandusky, OH. The record was last updated on Dec 29, 2009.