Organization · Type 2 NPI

Blossom Therapy LLC

Clinical Social Worker · Rapid City, SD

NPI number 1073433389 Active

Practice location

3618 Canyon Lake Dr Ste 107
Rapid City, SD 57702-3129

Mailing address

3213 W Main St # 259
Rapid City, SD 57702-2314

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1073433389

Blossom Therapy LLC's National Provider Identifier is 1073433389, issued on Jul 16, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rapid City, SD. The record was last updated on Aug 9, 2026.