Individual provider · Type 1 NPI
Stacy Bloom, R LCSW
Clinical Social Worker · East Norwich, NY
Practice location
600-11-4B Pine Hollow Road
East Norwich, NY 11732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R0423991 (NY) |
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 1013120526
Stacy Bloom, R LCSW's National Provider Identifier is 1013120526, issued on May 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Norwich, NY. The record was last updated on Jul 8, 2007.